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Individual

MS. AIMEE DIANE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2 SHIRCLIFF WAY, SUITE 800, JACKSONVILLE, FL 32204-4753
(904) 388-2619
(904) 388-0240
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 538-3672

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8252
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z135R
BC BS
FL
Enumeration date
10/05/2006
Last updated
11/07/2013
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