Organization
FIRST STEP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLYVING DATON BOURDEAU LCSW (PRESIDENT/CEO)
(407) 470-5908
Entity
Organization
Contact information
Practice address
365 WEKIVA SPRINGS RD STE 231, LONGWOOD, FL 32779-3690
(407) 470-5908
Mailing address
PO BOX 464, PLYMOUTH, FL 32768-0464
(407) 470-5908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11513
FL
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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