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Organization
NATIONAL BOARD OF FORENSIC EVALUATORS
Active
Organization
NATIONAL BOARD OF FORENSIC EVALUATORS
Active
Other names
Counseling and Psychotherapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE G WATT PH.D. (VICE PRESIDENT ADMINISTRATIVE DIR)
(386) 677-3995
Entity
Organization
Contact information
Practice address
595 W GRANADA BLVD STE H, ORMOND BEACH, FL 32174-5182
(386) 677-3995
(386) 673-0130
Mailing address
595 W GRANADA BLVD STE H, ORMOND BEACH, FL 32174-5182
(386) 677-3995
(386) 673-0130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0003142
FL
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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