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Organization
RICHARD WHITTEMORE PA
Active
Organization
RICHARD WHITTEMORE PA
Active
Other names
Banyan Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHERD WHITTEMORE LCSW (EXECUTIVE DIRECTOR)
(561) 967-2566
Entity
Organization
Contact information
Practice address
3898 VIA POINCIANA, SUITE 13, LAKE WORTH, FL 33467-2951
(561) 967-2566
(561) 967-4556
Mailing address
3898 VIA POINCIANA, SUITE 13, LAKE WORTH, FL 33467-2951
(561) 967-2566
(561) 967-4556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW001957
FL
Other
Enumeration date
09/16/2006
Last updated
07/20/2009
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