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Organization
DYNAMIC OUTPATIENT THERAPEUTIC SERVICES, LLC
Active
Organization
DYNAMIC OUTPATIENT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA RAYMAN LMHC (MANAGING MEMBER)
(954) 745-7917
Entity
Organization
Contact information
Practice address
2312 WILTON DR, WILTON MANORS, FL 33305-1249
(954) 745-7917
(954) 745-7918
Mailing address
2312 WILTON DR, WILTON MANORS, FL 33305-1249
(954) 745-7917
(954) 745-7918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 11511
FL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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