Jerry Croan MSW

NPI 1366617128 - Social Worker - 1041C0700X

NPI Details
NPI 1366617128
Gender Male
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1361 13TH AVE S
SUITE 215
JACKSONVILLE BEACH FL, 32250-3233, US
Phone (904) 241-4226
Fax (904) 270-8957
Business Location
1361 13TH AVE S
SUITE # 215
JACKSONVILLE BEACH FL, 32250-3233, US
Phone (904) 241-4226
Fax (904) 270-8957
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW5892
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According to our database, Mr. Jerry Croan MSW NPI is 1366617128, taxonomy code is 1041C0700X and license number is SW5892, license state is located at Florida. Jerry Croan MSW physically located at 1361 13th Ave S, Jacksonville Beach FL, 32250-3233. NPI Number Jerry Croan MSW has the Individual type.

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1366617128 NPI number is provided on an as is basis without warranty of any kind. 1366617128 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Croan MSW are for informational purposes only.