Organization
A LIFE YOU LOVE LLC
Active
Organization
A LIFE YOU LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MEDNICK LCSW (FOUNDER / THERAPIST)
(954) 226-9671
Entity
Organization
Contact information
Practice address
577 NW 120TH DR, CORAL SPRINGS, FL 33071-4029
(954) 226-9671
Mailing address
577 NW 120TH DR, CORAL SPRINGS, FL 33071-4029
(954) 226-9671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10834
FL
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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