Provider Information for 1932118841
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Ms. DEBRA LAURIE DEAN LCSW
Sex: Female
NPI: 1932118841
Last Updated: 2016-12-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1932118841 | ||||||||
| Enumeration Date | 2006-08-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 210 3RD ST W APT 7308 BRADENTON, FL 34205-8868 United States Phone: 318-243-5061 | Fax: | ||||||||
| Primary Practice Address | 2290 CATTLEMEN RD SARASOTA, FL 34232-6277 United States Phone: 941-893-1939 | Fax: | ||||||||
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