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Organization
BLUE BIRD BOOKS
Active
Organization
BLUE BIRD BOOKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BOWMAN (CREDENTIALING MANAGER)
(386) 216-1085
Entity
Organization
Contact information
Practice address
125 E INDIANA AVE STE E, DELAND, FL 32724-4341
(386) 279-7111
Mailing address
125 E INDIANA AVE STE E, DELAND, FL 32724-4341
(386) 279-7111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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