Etta F. Ettlinger, LCSW
NPI #1144207713 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1144207713
- Entity Type
- Individual
- Name
- Etta F. Ettlinger, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 100 EXECUTIVE WAY
- Address 2
- SUITE #110
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-4753
- Phone
- (904) 273-4099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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