LAURA ELAINE SOUTHGATE

SANFORD, FL
NPI1154137081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-12-05
Last Update Date2024-12-05
Business Address
LAURA ELAINE SOUTHGATE MCAP
211 ESLINGER WAY
SANFORD, FL 32773-6188
Phone number: 407-775-6106
Mailing Address
LAURA ELAINE SOUTHGATE MCAP
800 HANOVER RD
DELAND, FL 32724-8313
Phone number: 319-329-5336
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