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Organization
PROGRESSIVE HEALTHCARE OF BREVARD, LLC
Active
Organization
PROGRESSIVE HEALTHCARE OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN MUNDORF LCSW (THERAPIST)
(321) 615-0990
Entity
Organization
Contact information
Practice address
5972 GOLETA CIR, MELBOURNE, FL 32940-8035
(321) 615-0990
(888) 341-8272
Mailing address
5972 GOLETA CIR, MELBOURNE, FL 32940-8035
(321) 615-0990
(888) 341-8272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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