GINA V EATON, LCSW, PA
Ambulatory Health at Orange Dr, Fort Lauderdale, FL

License number
Florida SW 3884
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: GINA V EATON LCSW
Title: OWNER/PRESIDENT
Phone: (954) 862-1736
Address
Address
12555 Orange Dr SUITE 215, Fort Lauderdale, FL 33330
National Provider ID: 1184029845
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Gina V Eaton LCSW PA

Fort Lauderdale, FL

Industry:
Business Services at Non-Commercial Site
Doing business as:
Gina V. Eaton, LCSW, PA
Registration:
Jun 28, 2000
Addresses:
5400 S University Dr, Fort Lauderdale, FL 33328
4848 Grapevine Way, Fort Lauderdale, FL 33331
State ID:
P00000063024
Business type:
Domestic for Profit Corporation
President, Social Worker, Director:
Gina V. Eaton (President, Social Worker, Director)

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