Organization
BOLD STEP, LLC
Active
Organization
BOLD STEP, LLC
Active
Other names
Beauty for Ashes Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHEVALENE PALMER BARNES LCSW (MANAGER)
(954) 826-5979
Entity
Organization
Contact information
Practice address
1121 NW 111TH AVE, PLANTATION, FL 33322-7826
(954) 826-5979
Mailing address
1121 NW 111TH AVE, PLANTATION, FL 33322-7826
(954) 826-5979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9162
FL
Other
Enumeration date
11/22/2013
Last updated
06/15/2020
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