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
Phone: (618) 472-8964
Fax: (404) 487-8907
Website:
Health care specialties
| Specialty | Code | License # | 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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