Individual
CAROL BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2864 MOODY AVE, ORANGE PARK, FL 32073-6423
(904) 765-0665
(904) 765-0664
Mailing address
2864 MOODY AVE, ORANGE PARK, FL 32073-6423
(904) 765-0665
(904) 765-0664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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