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Individual

MS. RACHEL GERVAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7996
(352) 955-3045
Mailing address
PO BOX 5098, GAINESVILLE, FL 32627-5098
(352) 334-7996
(352) 955-3045

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
687070800
FL
Enumeration date
03/06/2013
Last updated
03/14/2013
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