Organization
DOMINICA J. DEBRAUWERE LCSW, DCSW, INC.
Active
Other names
Dominica J. Parrott LCSW, DCSW, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINICA J. DEBRAUWERE MSW, LCSW, DCSW (THERAPIST/PRESIDENT)
(850) 443-9801
Entity
Organization
Contact information
Practice address
4284 KELSON AVE., MARIANNA, FL 32446-6399
(850) 443-9801
(850) 526-3349
Mailing address
2584 GOVERNORS CT, MARIANNA, FL 32446-6399
(850) 443-9801
(850) 893-6013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3307
FL
1041C0700X
Clinical Social Worker
SW 3307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356423537
NPI
FL
Enumeration date
07/09/2012
Last updated
07/18/2014
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