Individual
AIDA SORAYA BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5203 BENTPINE COVE RD, JACKSONVILLE, FL 32224-0892
(904) 562-1391
(904) 562-1361
Mailing address
5203 BENTPINE COVE RD, JACKSONVILLE, FL 32224-0892
(904) 562-1391
(904) 562-1361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
069324-1
NY
1041C0700X
Clinical Social Worker
0904006120
VA
1041C0700X
Clinical Social Worker
Primary
SW 13797
FL
Other
Enumeration date
04/16/2007
Last updated
09/23/2016
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