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Individual

RONNIE BURAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
482 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(904) 247-3600
(904) 247-4926
Mailing address
482 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(904) 247-3600
(904) 247-4926

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004593
FL

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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