| Janean Furdock, Lcsw | |
|
35114 Stagecoach Trl Eustis FL 32736-8004 | |
| (321) 377-2243 | |
| (352) 589-6738 |
| Full Name | Janean Furdock, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35114 Stagecoach Trl, Eustis, Florida |
| Authorized Official Name and Position | Janean Furdock (OWNER) |
| Authorized Official Contact | 3213772243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janean Furdock, Lcsw 35114 Stagecoach Trl Eustis FL 32736-8004 Ph: (321) 377-2243 | Janean Furdock, Lcsw 35114 Stagecoach Trl Eustis FL 32736-8004 Ph: (321) 377-2243 |
| NPI Number | 1649714916 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649714916 | NPI | - | NPPES |
| 015483300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7776 (Florida) | Primary |
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