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Individual

PAMELA HESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor
APC005447
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APC005447
LICENSE
GA
Enumeration date
12/09/2016
Last updated
01/11/2017
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