Dewan Stanback

NPI #1902423916 in Maitland, Florida

Provider Information

NPI Number: 1902423916
Entity Type: Individual
Name: Dewan Stanback
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 25, 2020
Last Updated: Jun 25, 2020

Practice Location

Address: 2700 WESTHALL LN STE 207
City: Maitland
State: Florida
ZIP Code: 32751-7478
Phone: (813) 843-4377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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