Individual
JENNI HELEN SUJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1495
(407) 455-0844
Mailing address
5815 SOUTHPORT DR, PORT ORANGE, FL 32127-7512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11256
FL
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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