Individual
ALICIA KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
760 ROBERTS RD, SAINT JOHNS, FL 32259-8917
(904) 386-6465
Mailing address
760 ROBERTS RD, SAINT JOHNS, FL 32259-8917
(904) 386-6465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17614
FL
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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