Individual
KHRYSTAL WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 MULL ST, JACKSONVILLE, FL 32205-6814
(904) 732-0771
Mailing address
1303 MULL ST, JACKSONVILLE, FL 32205-6814
(904) 732-0771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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