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Organization
FORT LAUDERDALE DBT
Active
Organization
FORT LAUDERDALE DBT
Active
Other names
Florida DBT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ETTINGER LCSW (PRESIDENT)
(973) 224-0693
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST, SUITE 214, MIAMI, FL 33180-1900
(973) 224-0693
Mailing address
3029 NE 188TH ST, APT. 516, MIAMI, FL 33180-2989
(973) 224-0693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW12668
FL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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