Fanita Lakaye Jackson-norman LCSW

NPI 1659390318 - Social Worker - 1041C0700X

NPI Details
NPI 1659390318
Gender Female
Enumeration Date 07/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH FL, 32114-1495, US
Phone (386) 323-7530
Fax
Business Location
589 S INDIGO RD
ALTAMONTE SPRINGS FL, 32714-3197, US
Phone (407) 463-5500
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW0004175
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According to our database, Fanita Lakaye Jackson-norman LCSW NPI is 1659390318, taxonomy code is 1041C0700X and license number is SW0004175, license state is located at Florida. Fanita Lakaye Jackson-norman LCSW physically located at 551 National Health Care Dr, Daytona Beach FL, 32114-1495. NPI Number Fanita Lakaye Jackson-norman LCSW has the Individual type.

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1659390318 NPI number is provided on an as is basis without warranty of any kind. 1659390318 is maintained by the National Plan & Provider Enumeration System. The contents of Fanita Lakaye Jackson-norman LCSW are for informational purposes only.