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Provider Information for 1073759833


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Ms. DEBORAH ANN ABRAM LMHC


Sex: Female

NPI: 1073759833
Last Updated: 2015-05-18
Certification Date:

Details

NameValue
NPI1073759833
Enumeration Date2008-12-29
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 400 EAST SHERIDAN RD
MELBOURNE, FL 32901-3122
United States

Phone: 321-480-9079 | Fax:
 
Primary Practice Address 6700 S. US HWY 1
TITUSVILLE, FL 32780-8050
United States

Phone: 321-480-9079 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH7537