Individual
GERARD BENEDICT JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 NE 4TH ST, FT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Mailing address
401 NE 4TH ST, FT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW10195
FL
171M00000X
Case Manager/Care Coordinator
Primary
SW10195
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003762400
—
FL
Enumeration date
06/22/2011
Last updated
07/24/2013
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