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Individual

DAVID ETTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2627NE203RD ST 214, AVENTURA, FL 33180-1946
(973) 224-0693
Mailing address
2627NE203RD ST 214, AVENTURA, FL 33180-1946
(973) 224-0693

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMSW 13384
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BH2833
AZ
Enumeration date
10/18/2011
Last updated
10/21/2015
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