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Organization

CHILD AND FAMILY THERAPY ASSOCIATES, P.A.

Active
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Organization

CHILD AND FAMILY THERAPY ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE C JACOBSON MSW (OWNER)
(561) 371-1885
Entity
Organization

Contact information

Practice address
600 SANDTREE DR, SUITE 209, PALM BEACH GARDENS, FL 33403-1597
(561) 371-1885
(561) 355-8365
Mailing address
600 SANDTREE DR, SUITE 209, PALM BEACH GARDENS, FL 33403-1597
(561) 371-1885
(561) 355-8365

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3033
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z5084
BC/BS
FL
Enumeration date
09/27/2010
Last updated
07/22/2014
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