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Organization
THE KDC AGENCY
Active
Organization
THE KDC AGENCY
Active
Parent organization
BLUE COUCH THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE COUCH THERAPY
Authorized official
KETTIA DUPERVAL LCSW-QS (MANAGER)
(954) 993-1646
Entity
Organization
Contact information
Practice address
9730 GLACIER DR, MIRAMAR, FL 33025-4407
(954) 993-1646
Mailing address
2114 N FLAMINGO RD # 2292, PEMBROKE PINES, FL 33028-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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