KECK & GRACE, PA
Social Work at Douglas Ave, Altamonte Springs, FL

License number
Florida PY4007
Category
Social Work
Type
Clinical
Owner
Name: MS. GILDA GRACE LMHC
Title: TREASURER
Phone: (407) 644-2000
Address
Address
1110 Douglas Ave SUITE 3040, Altamonte Springs, FL 32714
National Provider ID: 1245536689
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KECK & GRACE, PA

1110 Douglas Ave SUITE 3040, Altamonte Springs, FL 32714

Registration:
Apr 5, 1999
State ID:
P99000032266
Business type:
Florida Profit Corporation
Secretary, Directors:
Alan Keck (President, Director), 1018 Hanging Vine Pt, Longwood, FL 32750 (Physical),Gilda Grace (Secretary, Director), 1018 Hanging Vine Pt, Longwood, FL 32750 (Physical)
Agent:
Grace, Gilda,1018 Hanging Vine Pt, Longwood, FL 32750 (Physical)
EIN:
59-3566506

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