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Individual

MAX EUGENE HIGH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
THD

Contact information

Practice address
611 S MAIN AVE, GROVELAND, FL 34736-2731
(352) 429-5600
Mailing address
611 S MAIN AVE, GROVELAND, FL 34736-2731
(352) 429-5600

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT0453020715
FL

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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