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Organization
WONDERFUL COUNSELOR LLC
Active
Organization
WONDERFUL COUNSELOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA DEMERRITT LCSW (OWNER)
(786) 906-8656
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST STE 420, NORTH MIAMI, FL 33161-5011
(786) 906-8656
Mailing address
1175 NE 125TH ST STE 420, NORTH MIAMI, FL 33161-5011
(786) 906-8656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015014900
—
FL
Enumeration date
07/04/2020
Last updated
07/04/2020
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