Individual
DOROTHY LYNN MABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5755 E MILTON RD, MILTON, FL 32583-7913
(850) 983-1129
Mailing address
SANTA ROSA COUNTY JAIL/WELLPATH, 5755 E. MILTON ROAD, MILTON, FL 32583
(850) 983-1129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14963
FL
Other
Enumeration date
06/12/2018
Last updated
02/27/2020
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