Organization
DNA PEDIATRIC COUNSELING SERVICES & RESOURCES
Active
Organization
DNA PEDIATRIC COUNSELING SERVICES & RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY MATHIEU LCSW (OWNER/THERAPIST)
(786) 356-9394
Entity
Organization
Contact information
Practice address
9351 E HEATHER LN, MIRAMAR, FL 33025-2638
(786) 356-9394
Mailing address
2413 MAIN ST # 545, MIRAMAR, FL 33025-7809
(305) 707-0728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295273779
—
FL
Enumeration date
07/23/2022
Last updated
07/23/2022
Update your record
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