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Individual

MRS. JEAN MARIE DREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMWSC

Contact information

Practice address
1532 NE 27TH ST, WILTON MANORS, FL 33334-4347
(954) 561-0920
(954) 563-6709
Mailing address
1532 NE 27TH ST, WILTON MANORS, FL 33334-4347
(954) 561-0920
(954) 563-6709

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000235700
FL
171M00000X
Case Manager/Care Coordinator
000235701
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000235700
FL
05
000235701
FL
Enumeration date
01/30/2009
Last updated
02/17/2009
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