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Organization
MYSELF DISCOVERY, LLC
Active
Organization
MYSELF DISCOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY GOTTLIEB LCSW (PRESIDENT)
(954) 328-5429
Entity
Organization
Contact information
Practice address
400 SE 12TH ST, FT LAUDERDALE, FL 33316-1937
(954) 524-2217
Mailing address
400 SE 12TH ST, FT LAUDERDALE, FL 33316-1937
(954) 524-2217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW10552
FL
1041C0700X
Clinical Social Worker
SW10552
FL
Other
Enumeration date
10/14/2011
Last updated
12/12/2011
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