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Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA KRISTEN PELAEZ LCSW (OWNER)
(954) 593-3799
Entity
Organization

Contact information

Practice address
151 W LAUREL DR, MARGATE, FL 33063
(954) 593-3799
Mailing address
151 W LAUREL DR, MARGATE, FL 33063
(954) 593-3799

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW10672
FL

Other

Enumeration date
03/07/2013
Last updated
03/07/2013
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