Provider Information for 1750803029
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Mr. PAUL KENNETH DEMPSEY LCSW MCAP ICADC
Sex: Male
NPI: 1750803029
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1750803029 | ||||||||||||||||||||
| Enumeration Date | 2017-07-08 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 463 SE NOME DR PORT ST LUCIE, FL 34984-8952 United States Phone: 772-342-7802 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 463 SE NOME DR PORT ST LUCIE, FL 34984-8952 United States Phone: 772-342-7802 | Fax: | ||||||||||||||||||||
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