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Individual

AIMEE GANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1002 NE 39TH CT, OCALA, FL 34470-2040
(352) 895-2704
Mailing address
1002 NE 39TH CT, OCALA, FL 34470-2040
(352) 895-2704

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9529
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767372800
FL
Enumeration date
10/07/2014
Last updated
10/07/2014
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