Search › Florida › 1041C0700X
Anne Derival, LCSW
NPI 1578715967 · on the registry since 2008
Practice
- Address
- 4161 Carmichael Ave
Bldg 3300, Suite 150
Jacksonville, FL 32207 - Phone
- (904) 396-8734
- Fax
- (904) 396-8759
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida