Organization
PRAD LB LLC
Active
Other names
PRAD LB LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELE DEOLIVEIRA (LCSW)
(646) 739-3642
Entity
Organization
Contact information
Practice address
1533 SE 5TH ST, DEERFIELD BEACH, FL 33441-4927
(646) 739-3642
Mailing address
1533 SE 5TH ST, DEERFIELD BEACH, FL 33441-4927
(646) 739-3642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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