Individual
ANIELA GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(913) 449-1927
Mailing address
7500 DEVONDALE WAY, JACKSONVILLE, FL 32256-4831
(913) 449-1927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/24/2014
Last updated
03/13/2019
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