ALTAGRACE K SOUVERAIN

CLERMONT, FL
NPI1003533423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  SW20568)
Enumeration Date2022-10-26
Last Update Date2022-10-26
Business Address
ALTAGRACE K SOUVERAIN LCSW
2140 N DON WICKHAM DR
CLERMONT, FL 34711-1922
Phone number: 352-394-5922
Mailing Address
ALTAGRACE K SOUVERAIN LCSW
PO BOX 491000
LEESBURG, FL 34749-1000
Phone number: 352-315-7500
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