Individual
ELIZABETH CLEAVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 PELICAN BAY DR, DAYTONA BEACH, FL 32119-9700
(386) 868-1992
Mailing address
300 HENRY CIR UNIT 336, FLAGLER BEACH, FL 32136-0059
(386) 214-6997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
363063
MA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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