Jan Ice Msw Lcsw P a

NPI #1033364039 in Naples, Florida

Provider Information

NPI Number
1033364039
Entity Type
Organization
Organization Name
Jan Ice Msw Lcsw P a
Primary Specialty
Social Worker - Clinical
Enumeration Date
Nov 19, 2008
Last Updated
Mar 14, 2009

Practice Location

Address
1415 PANTHER LN
Address 2
SUITE 215
City
Naples
State
Florida
ZIP Code
34109-7874
Phone
(239) 591-6626

Authorized Official

Name
MS. JAN ICE, MSW LCSW
Title
PSYCHOTHERAPIST
Phone
(239) 273-3915

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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