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NPI Code Detail

MEDICARE: MS. JANE YOUNG HILL L.C.S.W., D.C.S.W.

MEDICARE: MS. JANE YOUNG HILL L.C.S.W., D.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW 5738FL

General Provider Information

NPI Number : 1265539555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANE YOUNG HILL L.C.S.W., D.C.S.W.
Provider Business Mailing Address
First Line : 4400 MARSH LANDING BLVD
Second Line : SUITE 6
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-1287
Country : US
Telephone Number : 904-280-3344
Fax Number : 904-212-1903
Provider Business Practice Location Address
First Line : 4400 MARSH LANDING BLVD
Second Line : SUITE 6
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-1287
Country : US
Telephone Number : 904-280-3344
Fax Number : 904-212-1903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 04/11/2012

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