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Individual

KEVIN P MCGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
300 S BAY AVE, SANFORD, FL 32771-2141
(407) 321-4357
Mailing address
2118 E KALEY AVE, ORLANDO, FL 32806
(407) 895-7285

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH 5418
FL

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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