BEVERLEY N MUCCIARDI LCSW PA
Social Work at Sample Rd, Pompano Beach, FL

License number
Florida SW 5218
Category
Social Work
Type
Clinical
Owner
Name: MS. BEVERLEY NITSCH MUCCIARDI LCSW
Title: PRESISDENT
Phone: (954) 825-0020
Address
Address
10100 W Sample Rd SUITE 332, Pompano Beach, FL 33065
National Provider ID: 1306924600
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BEVERLEY N. MUCCIARDI, LCSW, PA

Pompano Beach, FL

Doing business as:
Beverley N Mucciardi LCSW<br>Beverley N Mucciardi
Registration:
May 24, 2006
Phone:
(954) 825-0020 (Phone)
Addresses:
10100 W Sample Rd SUITE 333, Pompano Beach, FL 33065 (Physical)
5401 N University Dr, Pompano Beach, FL 33067
State ID:
P06000073229
Business type:
Florida Profit Corporation
Principals:
Beverley N Mucciardi (President, Social Worker), 3200 Holiday Spg Blvd #203, Pompano Beach, FL 33063 (Physical),Brigitte Baroukh Principal, inactive
Agent:
Beverley Mucciardi,3200 Holiday Spg Blvd #203, Pompano Beach, FL 33063 (Physical)
EIN:
432106182

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