PSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC
Social Work at Stiles Ave, Orange Park, FL

License number
Florida PY-7122
Category
Social Work
Type
Clinical
Owner
Name: DR. DAWN K FOX PSYD
Title: CLINICAL PSYCHOLOGIST/OWNER
Phone: (904) 264-8311
Address
Address
358 Stiles Ave SUITE B, Orange Park, FL 32073
National Provider ID: 1528005311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHOLOGICAL SERVICES OF JACKSONVILLE, LLC

Orange Park, FL

Status:
Inactive
Industry:
Health Practitioner's Office
Doing business as:
Psychological Services of Jacksonville
Inactive reason:
Reinstatement
Registration:
Feb 3, 2006
Inactive since:
Apr 30, 2015
Addresses:
358 Stiles Ave SUITE B, Orange Park, FL 32073 (Physical)
328 Stiles Ave, Orange Park, FL 32073
1536 Kingsley Ave, Orange Park, FL 32073
165 Wl Rd, Orange Park, FL 32073
State ID:
L06000016161
Business type:
Florida Limited Liability Company
Managing Members:
Ronald Oscar Rang (Office Manager, Principal),Dawn K Fox Managing Member, inactive, 358 Stiles Ave SUITE B, Orange Park, FL 32073 (Physical)
Agent:
Fox, Eric,965 Bunker Ave, Green Cove Springs, FL 32043 (Physical)
EIN:
74-3160597

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