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Organization

CAROL MIRONES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL LIPSCOMB MIRONES LCSW (OWNER)
(954) 342-0982
Entity
Organization

Contact information

Practice address
12505 ORANGE DR STE 908, DAVIE, FL 33330-4300
(954) 342-0982
(954) 342-1080
Mailing address
12505 ORANGE DR STE 908, DAVIE, FL 33330-4300
(954) 342-0982
(954) 342-1080

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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