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DAWN AFFELDT LMHC

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831122050

Individual Registrant:
 DAWN  AFFELDT LMHC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3300 17TH STREET  SARASOTA, FL 34235 US
Tel: 941-716-4106  Fax: --

Contact information for business:
3300 17TH STREET  SARASOTA, FL 34235 US
Tel: 941-716-4106  Fax: --

Registration Information:
NPI: 1831122050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
MI6301012760
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
FLMH11999

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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