Individual
ALEA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(352) 334-0955
Mailing address
1485 S SEMORAN BLVD STE 1448, WINTER PARK, FL 32792-5508
(321) 397-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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