Individual
CHRISTINA MARIE PANIDES-KEYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 LAKES BLVD STE 210, KINGSLAND, GA 31548-6813
(912) 729-5501
(912) 729-3577
Mailing address
12721 DAYLIGHT TRL, JACKSONVILLE, FL 32218-8034
(904) 651-2950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003641
GA
Other
Enumeration date
01/08/2007
Last updated
07/09/2007
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