Individual
MRS. ALISON BOEHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
(904) 641-6529
Mailing address
PO BOX 19249, JACKSONVILLE, FL 32245-9249
(904) 642-9100
(904) 641-6529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755258100
—
FL
Enumeration date
12/19/2006
Last updated
06/05/2008
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