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Organization
GP WELLNESS PLLC
Active
Organization
GP WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA PEREZ LICENCE MENTAL HEALT (LICENCE MENTAL HEALTH C)
(561) 358-9414
Entity
Organization
Contact information
Practice address
12230 FOREST HILL BLVD, SUITE 152, WELLINGTON, FL 33414-5700
(561) 358-9414
Mailing address
3690 MIRAMONTES CIR, WELLINGTON, FL 33414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9077
FL
Other
Enumeration date
10/17/2007
Last updated
09/16/2011
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