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Organization
SW SOCIAL SUPPORT
Active
Organization
SW SOCIAL SUPPORT
Active
Parent organization
SW SOCIAL SUPPORT
Other names
sw social support
Organization subpart
Yes
Provider details
NPI number
Legal business name
SW SOCIAL SUPPORT
Authorized official
JESSICA JEFFERSON LCSW (CEO)
(954) 225-9851
Entity
Organization
Contact information
Practice address
9000 SHERIDAN ST STE 115, PEMBROKE PINES, FL 33024-8802
(954) 225-9851
Mailing address
9000 SHERIDAN ST STE 115, PEMBROKE PINES, FL 33024-8802
(954) 225-9851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/11/2020
Last updated
03/21/2022
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