Individual
LISA MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7711
Mailing address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
12/14/2015
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