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VIDA BARRETT

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1013498104

Individual Registrant:
 VIDA  BARRETT 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
920 NOBLES FERRY RD  LIVE OAK, FL 32064-8463 US
Tel: 352-374-5600  Fax: --

Contact information for business:
4300 SW 13TH ST  GAINESVILLE, FL 32608-4006 US
Tel: 352-374-5600  Fax: --

Registration Information:
NPI: 1013498104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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