Individual
ANNETTE W BRAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 65952, ORANGE PARK, FL 32065-0016
(904) 584-5777
Mailing address
PO BOX 65952, ORANGE PARK, FL 32065-0016
(904) 584-5777
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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