Individual
MR. ALLEN JEAN WASHINGTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
176 TREEMONTE DR, ORANGE CITY, FL 32763-7953
(386) 259-4880
Mailing address
176 TREEMONTE DR, ORANGE CITY, FL 32763-7953
(862) 594-8803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW11498
FL
Other
Enumeration date
12/12/2008
Last updated
07/16/2024
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