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Individual

ARTIE GATELY VI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RMHCI

Contact information

Practice address
206 W SYBELIA AVE, MAITLAND, FL 32751-4739
(407) 901-7672
Mailing address
206 W SYBELIA AVE, MAITLAND, FL 32751-4739

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH21147
FL

Other

Enumeration date
06/03/2021
Last updated
06/03/2021
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