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Individual

BABEFO B CYRIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CBHCM/CBHCMS

Contact information

Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(239) 271-8896
Mailing address
108 SHEILA AVE, DAYTONA BEACH, FL 32114-5771
(239) 271-8896

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency
CBHCMS101205
FL

Other

Enumeration date
01/07/2021
Last updated
11/17/2021
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