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NPI Code Detail

MEDICARE: TIMOTHY ALBRO LCSW

MEDICARE: TIMOTHY ALBRO LCSW
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 WorkerSW11911FL

General Provider Information

NPI Number : 1578847174
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ALBRO LCSW
Provider Business Mailing Address
First Line : 4237 MELROSE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-2130
Country : US
Telephone Number : 904-516-0012
Fax Number :
Provider Business Practice Location Address
First Line : 2523 HERSCHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4509
Country : US
Telephone Number : 904-516-0012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 09/30/2022

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Directions to “ TIMOTHY ALBRO LCSW” Practice Location

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