Individual
RACHAEL LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 PILGRIM AVE, DELTONA, FL 32725-6452
(561) 762-7629
Mailing address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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