Individual
MRS. ELBYDIA SOUVERAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11055 SW 186TH ST STE 207, CUTLER BAY, FL 33157-6842
(786) 692-5743
(786) 422-9043
Mailing address
11055 SW 186TH ST STE 207, CUTLER BAY, FL 33157-6842
(786) 692-5743
(786) 422-9043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW21106
LICENSE
FL
Enumeration date
02/12/2024
Last updated
02/12/2024
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