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Organization
STOP, INC.
Active
Organization
STOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DEITCHMAN PH.D. (DIRECTOR)
(904) 568-8927
Entity
Organization
Contact information
Practice address
710 3RD ST N, JACKSONVILLE BEACH, FL 32250-7149
(904) 568-8927
Mailing address
710 3RD ST N, JACKSONVILLE BEACH, FL 32250-7149
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1169
FL
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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