Individual
MS. MARTINE JOLICOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSA
Contact information
Practice address
1600 SW ARCHER RD RM HD116, GAINESVILLE, FL 32610-3003
(352) 334-1520
(352) 392-7829
Mailing address
7170 LAKE ISLAND DR, LAKE WORTH, FL 33467-7952
(561) 308-9067
(352) 392-7829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
10/10/2017
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