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Dominique Mary Mideau
Mental Health Counselor in Gainesville, Florida
NPI 1821223223

Dominique Mary Mideau is a Mental Health Counselor based in Gainesville, FL and is specialized in Mental Health. Dominique Mary Mideau practices in Gainesville, FL. The NPI Number for Dominique Mary Mideau is 1821223223 and holds a License No. (Florida).

The current practice location address for Dominique Mary Mideau is 4300 Sw 13Th St, Gainesville, FL and can be reached out via phone at 352-374-5600.

Location: 4300 Sw 13Th St, Gainesville, FL, 32608-4006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821223223
Provider Name
Dominique Mary Mideau
Credential
Provider Entity Type
Individual
Gender
Female
Address
4300 Sw 13Th St, Gainesville, FL, 32608-4006
Phone Number
352-374-5600
Fax Number
Provider Enumeration Date
05/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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