L DAISY SKINNER MSW PA
Social Work at Forest Hill Blvd, West Palm Beach, FL

License number
Florida SW6240
Category
Social Work
Type
Clinical
Owner
Name: L DAISY SKINNER LCSW
Title: PRESIDENT
Phone: (561) 795-9079
Address
Address
12777 W Forest Hill Blvd SUITE 1501, West Palm Beach, FL 33414
National Provider ID: 1255468377
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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L. DAISY SKINNER, MSW, PA

West Palm Beach, FL

Status:
Inactive
Industry:
Individual/Family Services
Inactive reason:
Reinstatement
Registration:
Mar 24, 2005
Inactive since:
Jul 7, 2010
Addresses:
12777 W Frst Hl Blvd SUITE 1501, West Palm Beach, FL 33414 (Physical)
12777 Frst Hl Blvd SUITE 1501, West Palm Beach, FL 33414 (Mailing)
1499 Frst Hl Blvd, West Palm Beach, FL 33406
State ID:
P05000044424
Business type:
Florida Profit Corporation
Secretarys:
L. Daisy Skinner (President, Secretary, Vice President), 14199 Orange Blvd, Loxahatchee, FL 33470 (Physical),Skinner, L.daisy, 14199 Orange Blvd, Loxahatchee, FL 33470 (Physical),Thomas J Skinner (Secretary), 14199 Orange Blvd, Loxahatchee, FL 33470 (Physical)
Agent:
L. Skinner,14199 Orange Blvd, Loxahatchee, FL 33470 (Physical)
EIN:
202562771

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