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Organization
SENIOR LIVING BEHAVIORAL HEALTH, PLLC
Active
Organization
SENIOR LIVING BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BROTTER PHD (OWNER)
(516) 448-1382
Entity
Organization
Contact information
Practice address
300 CABANA CAY CIR, PANAMA CITY BEACH, FL 32413-4684
(516) 448-1382
Mailing address
747 3RD AVE FL 2, NEW YORK, NY 10017-2878
(516) 448-1382
(973) 839-3653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15587
FL
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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