ETTA ETTLINGER, LCSW, PA
Social Work at Executive Way, Ponte Vedra, FL

License number
Florida SW6310
Category
Social Work
Type
Clinical
Owner
Name: MS. ETTA F. ETTLINGER LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (904) 273-4099
Address
Address
100 Executive Way STE 110, Ponte Vedra, FL 32082
National Provider ID: 1932384351
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ETTA ETTLINGER, LCSW, PA

100 Executive Way SUITE 206, Ponte Vedra Beach, FL 32082

Industry:
Business Consulting Services
Registration:
Feb 11, 2004
State ID:
P04000028089
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Etta Ettlinger (President, Treasurer, Secretary), 100 Executive Way SUITE 206, Ponte Vedra Beach, FL 32082 (Physical)
Agent:
Law Office Of Rosanne P. Perrine,100 Executive Way SUITE 112, Ponte Vedra Beach, FL 32082 (Physical)
EIN:
870721004

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