Organization
DEBRA DUBOSE, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA POWELL DUBOSE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(850) 748-1647
Entity
Organization
Contact information
Practice address
3109 E BRAINERD ST, PENSACOLA, FL 32503-6807
(850) 748-1647
(850) 436-4909
Mailing address
3109 E BRAINERD ST, PENSACOLA, FL 32503-6807
(850) 748-1647
(850) 436-4909
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW4505
FL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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