| Organization Name: | DOMINICA J. DEBRAUWERE LCSW, DCSW, INC. |
| NPI Number: | 1194080895 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOMINICA J. DEBRAUWERE (THERAPIST/PRESIDENT) |
| Mailing Address: | 4284 Kelson Ave. Marianna |
| State: | FL US |
| Postal Code: | 324466399 |
| Phone Number: | 8504439801 |
| Fax Number: | 8505263349 |
| NPI Enumeration Date: | 07/09/2012 |
| NPI Last Update Date: | 07/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 3307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |