Individual
MS. ADELINE JEAN-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11166 STONE CREEK ST, WELLINGTON, FL 33449-8332
(561) 503-1988
Mailing address
11166 STONE CREEK ST, WELLINGTON, FL 33449-8332
(561) 503-1988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003232800
—
FL
Enumeration date
01/08/2018
Last updated
06/16/2018
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