Individual
MS. DEBRA LAURIE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2290 CATTLEMEN RD, SARASOTA, FL 34232-6277
(941) 893-1939
Mailing address
210 3RD ST W, APT 7308, BRADENTON, FL 34205-8868
(318) 243-5061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8169
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004148046
—
LA
Enumeration date
08/07/2006
Last updated
12/06/2016
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