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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