Individual
SUSAN J GILLESPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7545 CENTURION PKWY, # 105, JACKSONVILLE, FL 32256-0579
(904) 403-8067
Mailing address
7545 CENTURION PKWY, # 105, JACKSONVILLE, FL 32256-0579
(904) 403-8067
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1749
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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