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Organization
TARGET THERAPY SERVICES, INC
Active
Organization
TARGET THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE HUGH BABCOCK III LCSW (THERAPIST)
(239) 218-3286
Entity
Organization
Contact information
Practice address
1903 SE 2ND ST, CAPE CORAL, FL 33990-1380
(239) 218-3286
Mailing address
1903 SE 2ND ST, CAPE CORAL, FL 33990-1380
(239) 218-3286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431745099
—
ME
Enumeration date
11/21/2014
Last updated
11/21/2014
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