Organization
EDEN GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA BARLOW LCSW (THERAPIST)
(352) 304-7066
Entity
Organization
Contact information
Practice address
10978 SW 38TH AVE, OCALA, FL 34476-4218
(352) 304-7066
Mailing address
10978 SW 38TH AVE, OCALA, FL 34476-4218
(352) 304-7066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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