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Organization

RECIPROCATE 1906 LLC

Active
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Organization

RECIPROCATE 1906 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN I GOLLOPP SR. M.S. (PRESIDENT)
(786) 916-3660
Entity
Organization

Contact information

Practice address
18425 NW 2ND AVE STE 330, MIAMI, FL 33169-4534
(786) 916-3660
(786) 916-3662
Mailing address
PO BOX 694881, MIAMI, FL 33269-1881
(786) 916-3660
(786) 916-3662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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