AISHAH BOODRAM

WINTER GARDEN, FL
NPI1689052813
Former NameAISHA KHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW16655)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CSW004935)
Enumeration Date2015-05-07
Last Update Date2020-06-26
Business Address
AISHAH BOODRAM LCSW
10139 BEACH PORT DR
WINTER GARDEN, FL 34787-4413
Phone number: 618-472-8964
Mailing Address
AISHAH BOODRAM LCSW
10139 BEACH PORT DR
WINTER GARDEN, FL 34787-4413
Phone number: 678-472-8964