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Organization
INSTITUTE FOR FAMILY THERAPY INC
Active
Organization
INSTITUTE FOR FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN MIRTENBAUM MA (EXECUTIVE DIRECTOR)
(305) 558-7400
Entity
Organization
Contact information
Practice address
6175 NW 153RD ST, SUITE 404, MIAMI LAKES, FL 33014-2435
(305) 558-7400
(305) 558-6134
Mailing address
6175 NW 153RD ST, SUITE 404, MIAMI LAKES, FL 33014-2435
(305) 558-7400
(305) 558-6134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1677
FL
Other
Enumeration date
11/11/2005
Last updated
01/30/2012
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