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Individual

BERLINE BELIZAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2181 ORANGE AVE E, TALLAHASSEE, FL 32311-6144
(850) 513-7058
Mailing address
2181 ORANGE AVE, TALLAHASSEE, FL 32311
(850) 980-8950

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
SW17941
FL

Other

Enumeration date
11/18/2014
Last updated
05/23/2022
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