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Organization
D'VINE THERAPEUTIC SERVICES, INC.
Active
Organization
D'VINE THERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA ROSE-LYN IMT (THERAPIST/FINANCIAL OFFICER)
(954) 708-8328
Entity
Organization
Contact information
Practice address
3900 W COMMERCIAL BLVD, SUITE 232, TAMARAC, FL 33309-3328
(954) 682-7903
Mailing address
3900 W COMMERCIAL BLVD, SUITE 232, TAMARAC, FL 33309-3328
(954) 682-7903
(786) 497-3863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11632
FL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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