Individual
BROOKSIE LASHAUN MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5311 NW 81ST AVE, GAINESVILLE, FL 32653-6149
(352) 317-1405
Mailing address
5311 NW 81ST AVE, GAINESVILLE, FL 32653-6149
(352) 317-1405
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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