Individual
DANIELLE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EMERSON ST STE 103, JACKSONVILLE, FL 32207-4970
(904) 323-6801
Mailing address
12278 SALVIA CT, JACKSONVILLE, FL 32218-0840
(904) 438-0634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT3862
FL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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