Boodram, Aishah

Boodram, Aishah is an sole proprietor health care provider with primary practice located at 10139 Beach Port Dr , Winter Garden FL 34787-4413. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boodram, Aishah can be contacted via phone (618) 472-8964.

Contact Information

Primary practice address
10139 Beach Port Dr Winter Garden FL 34787-4413
Fax: (404) 487-8907
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004935 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16655 Florida

Profile Details

NPI number 1689052813
LBN Legal business name Boodram, Aishah
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2015
Last updated Jun 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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