Individual
BRIANNA PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Mailing address
1715 HODGES BLVD, APT 1609, JACKSONVILLE, FL 32224-3086
(954) 260-8624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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