Organization
COAST TO COAST EMDR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE GROBBEL JD, LCSW (PRESIDENT)
(561) 756-3477
Entity
Organization
Contact information
Practice address
950 PENINSULA CORPORATE CIR STE 2015, BOCA RATON, FL 33487-1389
(561) 756-3477
Mailing address
17714 LOMOND CT, BOCA RATON, FL 33496-1032
(561) 756-3477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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