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1053410191
IRMA I PHILLIPS-MAXWELL
GAINESVILLE, FL
NPI
1053410191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL Certification #1979)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Mrs. IRMA I PHILLIPS-MAXWELL CAP
2002 NW 13TH ST SUITE 120
GAINESVILLE, FL 32609-5414
Phone number: 352-376-1611
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Mailing Address
Mrs. IRMA I PHILLIPS-MAXWELL CAP
PO BOX 1145
GAINESVILLE, FL 32602-1145
Phone number: 352-376-1611
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