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Individual

MS. LISA S. BLIZZARD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
SUPPORT COORDINATOR

Contact information

Practice address
9447 BRUNTSFIELD DR, JACKSONVILLE, FL 32244-7176
(904) 772-6442
(904) 772-6443
Mailing address
9526 ARGYLE FOREST BLVD, SUITE B2 PMB #309, JACKSONVILLE, FL 32222-2825
(904) 772-6442
(904) 772-6443

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/08/2005
Last updated
07/09/2007
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