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Individual

MR. FRED SACKLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6950 PHILIPS HWY STE 11, JACKSONVILLE, FL 32216
(904) 239-3677
(904) 866-4029
Mailing address
2055 REYKO RD STE 100, JACKSONVILLE, FL 32207-2828
(904) 648-8200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R02529-1
NY
1041C0700X
Clinical Social Worker
Primary
SW14596
FL

Other

Enumeration date
10/30/2005
Last updated
04/13/2026
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