Organization
NORTH CENTRAL EARLY STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY GALLET DE ST AURIN (ITDS)
(954) 309-6490
Entity
Organization
Contact information
Practice address
1329 SW 16TH ST RM 4160, GAINESVILLE, FL 32608-1128
(352) 273-8555
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 681-2812
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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