Organization
COCONUT GROVE CENTER INC
Active
Organization
COCONUT GROVE CENTER INC
Active
Other names
Coconut Grove Center for Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE POTTER LCSW, LMFT (OWNER)
(305) 858-3355
Entity
Organization
Contact information
Practice address
2000 S DIXIE HWY, 104, COCONUT GROVE, FL 33133-2456
(305) 858-3355
Mailing address
2000 S DIXIE HWY, MIAMI, FL 33133-2456
(305) 858-3355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1013
FL
Other
Enumeration date
03/13/2007
Last updated
04/18/2011
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