Individual
HEATHER K OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, FL 32207-8426
(904) 697-3789
(904) 697-3790
Mailing address
P.O. BOX 5720, PROVIDER ENROLLMENT DEPARTMENT, ATLANTA, GA 30384-5720
(904) 697-5919
(407) 650-7578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW9880
FL
1041C0700X
Clinical Social Worker
SW9880
FL
Other
Enumeration date
07/08/2010
Last updated
08/30/2010
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