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Individual

DEBORAH OBERMAYER SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
412 BEAUREGARD AVE NE, PALM BAY, FL 32907-2465
(321) 728-3691
Mailing address
412 BEAUREGARD AVE NE, PALM BAY, FL 32907
(321) 728-3691

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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