Provider Demographics
NPI:1982941845
Name:LASH, FRANCINE DEBORAH (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:DEBORAH
Last Name:LASH
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 1:4775 SW 164TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4697
Mailing Address - Country:US
Mailing Address - Phone:954-243-8608
Mailing Address - Fax:954-517-1596
Practice Address - Street 1:4775 SW 164TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4697
Practice Address - Country:US
Practice Address - Phone:954-243-8608
Practice Address - Fax:954-517-1596
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 111481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical