Individual
BETH B PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 SHIRCLIFF WAY, STE 800, JACKSONVILLE, FL 32204-4732
(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
LCSW 4186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z8177
BCBS
FL
Enumeration date
10/06/2005
Last updated
06/07/2013
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