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Individual

LINDA NEWSOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1454 BENT OAKS BLVD, DELAND, FL 32724-8062
(386) 667-9146
Mailing address
1451 BENT OAKS BLVD, DELAND, FL 32724-8061
(386) 679-1465

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MH2836
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH2836
LMHC
FL
Enumeration date
12/17/2012
Last updated
01/06/2014
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