Individual
MRS. KYLEE WAYNETTE BOLIBRZUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207
(904) 493-8632
Mailing address
15856 BAXTER CREEK DR, JACKSONVILLE, FL 32218-8354
(619) 886-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
06/17/2018
Last updated
06/18/2018
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