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Organization
GULF COAST THERAPY CENTER
Active
Organization
GULF COAST THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY F MACEDONIO PSYD (OWNER)
(646) 239-8210
Entity
Organization
Contact information
Practice address
2520 TAMIAMI TRL N STE 18, NOKOMIS, FL 34275-3434
(941) 500-9796
Mailing address
807 N WACO AVE STE 12, WICHITA, KS 67203-3971
(941) 500-9796
(316) 721-8139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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