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Organization
MOBILEPREACHER.ORG
Active
Organization
MOBILEPREACHER.ORG
Active
Other names
DMR Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MICHAEL RUBANO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(941) 315-5999
Entity
Organization
Contact information
Practice address
2881 CLARK RD STE 11, SARASOTA, FL 34231-6298
(941) 315-5999
Mailing address
2757 WILKINSON RD, SARASOTA, FL 34231-5232
(941) 315-5999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019173200
—
FL
Enumeration date
02/06/2018
Last updated
02/06/2018
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