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Organization

FAMILY PRESERVATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAN SWINK (CLINICAL DIRECTOR)
(772) 595-3773
Entity
Organization

Contact information

Practice address
121 N 2ND ST, FORT PIERCE, FL 34950-4435
(772) 595-3773
Mailing address
121 N 2ND ST, FORT PIERCE, FL 34950-4435
(772) 595-3773

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10902
FL

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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