Organization
LINDSEY GULLO, LLC, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY GULLO LCSW (OWNER)
(904) 719-3902
Entity
Organization
Contact information
Practice address
305 N VILLA SAN MARCO DR, 104, ST AUGUSTINE, FL 32086-5104
(716) 696-0378
Mailing address
4475 US 1 S, ST AUGUSTINE, FL 32086-7284
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW13172
FL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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