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Individual

MRS. RENAI L SPARROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1028 SW 126TH ST, NEWBERRY, FL 32669-3054
(352) 317-6513
(352) 333-1138
Mailing address
5745 SW 75TH ST # 157, GAINESVILLE, FL 32608-5504

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary

Other

Enumeration date
02/15/2011
Last updated
02/15/2011
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