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KELLY GILBERT MH 19467

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831852987

Individual Registrant:
 KELLY  GILBERT MH 19467
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12 YARDARM DR  PLACIDA, FL 33946-5086 US
Tel: 941-258-2746  Fax: --

Contact information for business:
12 YARDARM DR  PLACIDA, FL 33946-5086 US
Tel: 941-258-2746  Fax: --

Registration Information:
NPI: 1831852987
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FL19467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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