| Debra Dubose, Lcsw | |
|
3109 E Brainerd St Pensacola FL 32503-6807 | |
| (850) 748-1647 | |
| (850) 436-4909 |
| Full Name | Debra Dubose, Lcsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3109 E Brainerd St, Pensacola, Florida |
| Authorized Official Name and Position | Debra Powell Dubose (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8507481647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Dubose, Lcsw 3109 E Brainerd St Pensacola FL 32503-6807 Ph: (850) 748-1647 | Debra Dubose, Lcsw 3109 E Brainerd St Pensacola FL 32503-6807 Ph: (850) 748-1647 |
| NPI Number | 1083161392 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083161392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW4505 (Florida) | Primary |
News Archive
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