Individual
JACQUELINE R GRATEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3271 NW 7TH ST, MIAMI, FL 33125-4141
(786) 220-6902
Mailing address
3271 NW 7TH ST STE 203, MIAMI, FL 33125-4141
(786) 220-6902
(866) 726-0526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CCM101619-AC
FL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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