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Organization
LISA D COVENTRY
Active
Organization
LISA D COVENTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D COVENTRY (OWNER)
(954) 599-2047
Entity
Organization
Contact information
Practice address
1400 E OAKLAND PARK BLVD, SUITE 100, OAKLAND PARK, FL 33334-4400
(954) 599-2047
Mailing address
1400 E OAKLAND PARK BLVD, SUITE 100, OAKLAND PARK, FL 33334-4400
(954) 599-2047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6839
FL
Other
Enumeration date
05/15/2014
Last updated
10/29/2014
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