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Organization
DSW BEHAVIORIAL HEALTH CENTER
Active
Organization
DSW BEHAVIORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY MADELENE WRIGHT (EXECUTIVE DIRECTOR)
(850) 585-9492
Entity
Organization
Contact information
Practice address
608 JEREMY CT, CRESTVIEW, FL 32539-6941
(850) 585-9492
(850) 689-2617
Mailing address
608 JEREMY CT, CRESTVIEW, FL 32539-6941
(850) 585-9492
(850) 689-2617
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
FL
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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