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Individual

MRS. LINDA PAGE ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MSW

Contact information

Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7762
(904) 348-2818
Mailing address
2218 OFF SHORE DR, FERNANDINA BEACH, FL 32034-4515
(904) 491-3398
(904) 348-2818

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/05/2007
Last updated
07/09/2007
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