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1649799073
DANIEL S MIRTENBAUM
FORT LAUDERDALE, FL
NPI
1649799073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY9965)
Enumeration Date
2017-09-18
Last Update Date
2022-07-21
Business Address
DANIEL S MIRTENBAUM EdM, PsyD
1848 SE 1ST AVE
FORT LAUDERDALE, FL 33316-2875
Phone number: 954-885-9500
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Mailing Address
DANIEL S MIRTENBAUM EdM, PsyD
1848 SE 1ST AVE
FORT LAUDERDALE, FL 33316-2875
Phone number:
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