Organization
GWENDOLYN MCLEOD
Active
Other names
Successful Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN D MCLEOD (OWNER)
(772) 940-1632
Entity
Organization
Contact information
Practice address
3015 W DIXIE BLVD, FORT PIERCE, FL 34946-1708
(772) 940-1632
Mailing address
PO BOX 3852, FORT PIERCE, FL 34948-3852
(772) 940-1632
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAHCA013Z
—
FL
Enumeration date
07/14/2016
Last updated
07/14/2016
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