Most Relevant Information
Provider Data
NPI Number: | 1003334061 |
Provider Name: | CAE'VILLE GAINOUS M.S. |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/30/2017 |
Last Updated: | 08/30/2017 |
Provider Practice Location
1009 MAITLAND CENTER COMMONS BLVD STE 212
MAITLAND
FL
327517270
Practice Location Phone/Fax
Phone: | 8132704457 |
Fax: |
Provider Mailing Location
2700 WESTHALL LN STE 207
MAITLAND
FL
327517478
Provider Mailing Phone/Fax
Phone: | |
Fax: |