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Organization
POSITIVE STRIDES LLC
Active
Organization
POSITIVE STRIDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHAH BOODRAM (LCSW)
(678) 472-8964
Entity
Organization
Contact information
Practice address
10139 BEACH PORT DR, WINTER GARDEN, FL 34787-4413
(678) 472-8964
(404) 487-8907
Mailing address
10139 BEACH PORT DR, WINTER GARDEN, FL 34787-4413
(678) 472-8964
(404) 487-8907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
04/16/2020
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