Doctor Name: | MRS. CHERYL DIANA POLITE-EAFORD |
NPI Number: | 1164470605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 7939 |
Business Practice Address: | 17550 Nw 20th Ave Miami Gardens, FL - 330564708 |
Business Phone Number: | 3056245901 |
Business Fax Number: | 3056245901 |
Mailing Address: | 17550 Nw 20th Ave, MIAMI GARDENS |
State: | FL |
Postal Code: | 330564708 |
Phone Number: | 3056245901 |
Fax Number: | 3056245901 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 7939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |