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Individual

JEANNE M MOBERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4631 NW 53RD AVE, STE 104, GAINESVILLE, FL 32606
(352) 381-8866
(352) 377-0344
Mailing address
4631 NW 53RD AVE, STE 104, GAINESVILLE, FL 32606
(352) 381-8866
(352) 377-0344

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3692
FL

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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