Provider Information for 1972884252
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MEGAN RAE ROCKWOOD MA, LMHC, CAP
Sex: Female
NPI: 1972884252
Last Updated: 2015-10-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1972884252 | ||||||||||||||||
| Enumeration Date | 2011-08-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 10175 FORTUNE PKWY ST 1106 JACKSONVILLE, FL 32256-6746 United States Phone: 904-379-5928 | Fax:888-793-2304 | ||||||||||||||||
| Primary Practice Address | 10175 FORTUNE PKWY ST 1106 JACKSONVILLE, FL 32256-6746 United States Phone: 904-379-5928 | Fax:888-793-2304 | ||||||||||||||||
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