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General NPI Number Information
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NPI Number | 1134115538
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Entity Type | Organization
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Legal Business Name | POSSIBILITIES COUNSELING SERVICES PA
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1975 E SUNRISE BLVD STE 513
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1433
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Country | US
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Telephone | 954-895-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 4741 NE 27TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4818
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Country | US
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Telephone | 954-895-6031
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. SHARON DEBRA ROSEMAN
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Credential | L.C.S.W.
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Telephone | 954-895-6031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 6683
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License Number State | FL
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