Individual
SAMIYA CHANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7481 W OAKLAND PARK BLVD, SUITE 100, TAMARAC, FL 33319-4985
(954) 771-7743
(954) 771-7748
Mailing address
1065 NE 125TH ST, SUITE 409, NORTH MIAMI, FL 33161-5821
(305) 891-0050
(305) 503-7363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW10891
FL
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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