Organization
JQM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY LOUISE MONAGHAN PH.D. (PRESIDENT)
(904) 347-0751
Entity
Organization
Contact information
Practice address
344 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(904) 347-0751
Mailing address
344 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(904) 755-6592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7659
FL
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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