Individual
ERICA ANN JUSTAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2864 MOODY AVE, ORANGE PARK, FL 32073-6423
(352) 478-8395
Mailing address
2864 MOODY AVE, ORANGE PARK, FL 32073-6423
(352) 478-8395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW18159
FL
Other
Enumeration date
02/25/2019
Last updated
05/12/2021
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