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Organization

CORNERSTONE COUNSELING SOUTH FLORIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA JANE BEVILL LCSW (SOLE MEMBER)
(434) 956-4106
Entity
Organization

Contact information

Practice address
5571 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4653
(434) 956-4106
Mailing address
10947 NW 56TH CT, CORAL SPRINGS, FL 33076-3112
(434) 956-4106

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/24/2020
Last updated
07/24/2020
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