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Organization
SLB, L.L.C.
Active
Organization
SLB, L.L.C.
Active
Other names
ADVENTURE THERAPIES
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BRENNER LCSW (CEO/PRESIDENT)
(239) 682-3251
Entity
Organization
Contact information
Practice address
5020 TAMIAMI TRL N, SUITE 202, NAPLES, FL 34103-2807
(239) 682-3251
Mailing address
5020 TAMIAMI TRL N, SUITE 202, NAPLES, FL 34103-2807
(239) 682-3251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H420860
MEDICARE PTAN
OH
01
—
HZ217A
MEDICARE PTAN
FL
Enumeration date
09/18/2014
Last updated
01/26/2016
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