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Individual

CHARMESIA E FRESHWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
245 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32202-4930
(904) 300-7578
Mailing address
245 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32202-4930

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
372600000X
Adult Companion
Primary
240480
FL

Other

Enumeration date
08/03/2024
Last updated
07/14/2025
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