THERESA B RAYMER , LCSW in JACKSONVILLE - NPI - 1871587360
THERESA B RAYMER is a dentist based out of JACKSONVILLE,Florida THERESA practices in JACKSONVILLE,Florida and has the professional credentials of LCSW .The NPI Number for THERESA B RAYMER is 1871587360 and he holds a Licence No. SW3675(Florida).
THERESA current practice location address is 5070 ATTLEBORO ST,,JACKSONVILLE,Florida and he can be reached out via phone at 9047866763 and via fax at8663691369. You can also correspond with THERESA B RAYMER through mail at his mailing address at5070 ATTLEBORO ST,,JACKSONVILLE,Florida – 322056418 (mailing address contact number – 322056418).
Provider Profile Details
NPI Number | 1871587360 |
Provider Name | THERESA B RAYMER |
LCSW | |
Gender | 41596 |
Provider Entity Type | Individual |
Provider Enumeration Date | 101YA0400X |
Last Update Date | 38604 |
Provider Business Mailing Address Details
Address | 5070 ATTLEBORO ST, |
City | JACKSONVILLE |
State | Florida |
Zip | 322056418 |
Phone Number | 9047866763 |
Provider Business Practice Location Address Details
Address | 5070 ATTLEBORO ST, |
City | JACKSONVILLE |
State | Florida |
Zip | 322056418 |
Phone Number | 9047866763 |
Provider's Primary Taxonomy Details
Taxonomy | 101YA0400X |
License No. | SW3675 |
State | Florida |