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Individual

DAVID GEORGE HANENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, CAP

Contact information

Practice address
1639 FORUM PL, STE. 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
225 CONNISTON RD, APT. 4, WEST PALM BEACH, FL 33405-0908
(561) 628-0002

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP4219
FL
1041C0700X
Clinical Social Worker
Primary
SW8931
FL

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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