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Organization
SANDRA TEUBER
Active
Organization
SANDRA TEUBER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LEE BOUCHARD TEUBER LCSW, CAP (LICENSED CLINICAL SOCIAL WORKER)
(321) 637-3788
Entity
Organization
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
(321) 637-3648
Mailing address
2808 STEARNS AVE NE, PALM BAY, FL 32905-3542
(321) 768-7534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 2661
FL
1041C0700X
Clinical Social Worker
Primary
SW 7842
FL
Other
Enumeration date
02/27/2006
Last updated
06/17/2008
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