Individual
MRS. DEBRA M MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 CHILDRENS WAY, ENTERPRISE, FL 32725-8135
(386) 668-4774
(386) 668-0542
Mailing address
51 CHILDRENS WAY, ENTERPRISE, FL 32725-8135
(386) 668-4774
(386) 668-0542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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