Individual
GRACIELA NOVOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12359 STRATFORD ST, WELLINGTON, FL 33414-5600
(561) 951-8382
Mailing address
12359 STRATFORD ST, WELLINGTON, FL 33414-5600
(561) 951-8382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCM102595
FL
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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