Devore, Gracie Carol

Devore, Gracie Carol is an individual health care provider with primary practice located at 8950 Dr Martin Luther King Jr St N Ste 170 , St Petersburg FL 33702-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Devore, Gracie Carol can be contacted via phone (727) 576-7600.

Contact Information

Primary practice address
8950 Dr Martin Luther King Jr St N Ste 170 St Petersburg FL 33702-3001
Phone: (727) 576-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528505641
LBN Legal business name Devore, Gracie Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Jan 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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