Carol Mirones LLC
Social Worker, Clinical in Davie, FL. Organization (NPI-2).
NPI number1962009092
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1962009092
- Entity type
- Organization (NPI-2)
- Legal business name
- Carol Mirones LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
12505 Orange Dr Ste 908Davie, FL 33330-4300
Phone 954-342-0982 · Fax 954-342-1080
Mailing address
12505 Orange Dr Ste 908Davie, FL 33330-4300
Phone 954-342-0982 · Fax 954-342-1080
Authorized official
Carol Lipscomb Mirones
Owner
9543420982
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