Provider First Line Business Practice Location Address:
DEEP WATERS COUNSELING AND CONSULTING
Provider Second Line Business Practice Location Address:
4643 CAMP CREEK LANE
Provider Business Practice Location Address City Name:
ORANGE PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32065-2666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-375-1474
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/20/2023