Provider Information for 1376860759
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DEIDRE MCLEOD LMHC
Sex: Female
NPI: 1376860759
Last Updated: 2020-11-23
Certification Date: 2020-11-23
Certification Date: 2020-11-23
Details
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NPI | 1376860759 | ||||||||
Enumeration Date | 2010-04-26 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2140 E COUNTY ROAD 540A LAKELAND, FL 33813-3740 United States Phone: 863-291-5560 | Fax: | ||||||||
Primary Practice Address | 2140 E COUNTY ROAD 540A LAKELAND, FL 33813-3740 United States Phone: 866-280-9355 | Fax: | ||||||||
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