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Contact Information

JESSICA KUILAN, LCSW
5011 GATE PARKWAY
BLDG 100, SUITE 100
JACKSONVILLE, FL32256
 Phone: 305-783-3991
 Fax: 305-230-7616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JESSICA KUILAN · (Female)

NPI # 1427506658
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/16/2016
Last updated 08/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW13911
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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