Debbie Dodge, Llc | |
107 Dr Martin Luther King Jr Ave Ste 2 Inverness FL 34450-4300 | |
(856) 371-6602 | |
(352) 419-8983 |
Full Name | Debbie Dodge, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 107 Dr Martin Luther King Jr Ave Ste 2, Inverness, Florida |
Authorized Official Name and Position | Debbie Leigh Dodge (LMHC) |
Authorized Official Contact | 8563716602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Debbie Dodge, Llc 107 Dr Martin Luther King Jr Ave Ste 2 Inverness FL 34450-4300 Ph: (856) 371-6602 | Debbie Dodge, Llc 107 Dr Martin Luther King Jr Ave Ste 2 Inverness FL 34450-4300 Ph: (856) 371-6602 |
NPI Number | 1548772668 |
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Provider Enumeration Date | 10/30/2017 |
Last Update Date | 10/30/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548772668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH14195 (Florida) | Primary |
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