Provider Demographics
NPI:1710134952
Name:EDER, MAYME MARIN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MAYME
Middle Name:MARIN
Last Name:EDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 SW 57TH AVE
Mailing Address - Street 2:SUITE 202-D
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5321
Mailing Address - Country:US
Mailing Address - Phone:305-342-7286
Mailing Address - Fax:
Practice Address - Street 1:7210 SW 57TH AVE
Practice Address - Street 2:SUITE 202-D
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5321
Practice Address - Country:US
Practice Address - Phone:305-342-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW45841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical