Organization
AGENCY OF CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE DONOHUE LCSW (PRESIDENT)
(954) 465-5142
Entity
Organization
Contact information
Practice address
900 NE 18TH AVE, 1207, FORT LAUDERDALE, FL 33304-3063
(954) 524-6861
Mailing address
900 NE 18TH AVE, 1207, FORT LAUDERDALE, FL 33304-3063
(954) 524-6861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8327
FL
Other
Enumeration date
02/20/2011
Last updated
02/20/2011
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