Provider Information for 1548712318
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Ms. REBECCA MALIGNO LCSW
Sex: Female
NPI: 1548712318
Last Updated: 2016-10-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1548712318 | ||||||||
| Enumeration Date | 2016-10-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 825 NW 23RD AVE BLDG 3 GAINESVILLE, FL 32609-3574 United States Phone: 352-248-0250 | Fax: | ||||||||
| Primary Practice Address | 825 NW 23RD AVE BLDG 3 ST A GAINESVILLE, FL 32609 United States Phone: 352-548-0250 | Fax: | ||||||||
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