Fred Sacklow's National Provider Identifier (NPI) Details
Fred Sacklow, LCSW
NPI: 1619968716
Enumeration Date: 2005-10-30
Last updated: 2018-06-20
Sole Proprietor: YES
Status: active
Postal Address: 6950 PHILIPS HWY STE 11, JACKSONVILLE, FL
Phone: 904-239-3677
Primary Practice Address: 6950 PHILIPS HWY STE 11, JACKSONVILLE, FL
Practice's phone: 904-239-3677