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Organization

FLORIDA STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE C. PREVATT PH.D. (DIRECTOR, EMPLOYEE ASSISTANCE PRGM)
(850) 644-2288
Entity
Organization

Contact information

Practice address
937 W. JEFFERSON ST., TALLAHASSEE, FL 32306-4190
(850) 644-2288
(850) 644-1043
Mailing address
937 W. JEFFERSON ST., TALLAHASSEE, FL 32306-4190
(850) 644-2288
(850) 644-1043

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/16/2007
Last updated
08/22/2020
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