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General NPI Number Information
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NPI Number | 1821506239
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Entity Type | Organization
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Legal Business Name | CMA COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 934 N UNIVERSITY DR # 446
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7029
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Country | US
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Telephone | 954-662-9262
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Fax |
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Provider Business Mailing Address
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Address Line | 934 N UNIVERSITY DR # 446
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7029
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Country | US
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Telephone | 954-662-9262
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CLARA ANGULO
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Credential | LCSW
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Telephone | 954-662-9262
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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 | SW14221
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License Number State | FL
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