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Organization
CLINICIANS OF SOUTH DADE LLC
Active
Organization
CLINICIANS OF SOUTH DADE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASHUN TYRELL BANKS (CEO)
(919) 672-5005
Entity
Organization
Contact information
Practice address
333 SE 2ND AVE STE 2000, MIAMI, FL 33131-2185
(919) 672-5005
Mailing address
525 N TRYON ST STE 1609, CHARLOTTE, NC 28202-0202
(919) 672-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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