Individual
DEBORAH ANNE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 NE 7TH AVE, GAINESVILLE, FL 32601-4391
(352) 336-8414
Mailing address
PO BOX 1011, MICANOPY, FL 32667-1011
(352) 336-8414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z5584
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/24/2007
Last updated
07/08/2007
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