Organization
CINDY JILL NORTH LCSW., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY JILL NORTH LCSW (DIRECTOR)
(954) 322-1005
Entity
Organization
Contact information
Practice address
1931 NW 150TH AVE STE 124, PEMBROKE PINES, PEMBROKE PINES, FL 33028-2873
(954) 322-1005
Mailing address
1931 NW 150TH AVE STE 124, PEMBROKE PINES, PEMBROKE PINES, FL 33028-2873
(954) 322-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001524800
—
FL
Enumeration date
01/30/2013
Last updated
01/30/2013
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