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ELIZABETH KLASKO, LCSW, LLC

Company Details

Entity Name: ELIZABETH KLASKO, LCSW, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2021 (4 years ago)
Document Number: L21000179948
FEI/EIN Number 87-2120609
Address: 6196 KEY LARGO LANE, BOYNTON BEACH, FL, 33472, US
Mail Address: 6196 KEY LARGO LANE, BOYNTON BEACH, FL, 33472, US
ZIP code: 33472
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053089706 2021-08-30 2021-08-30 6196 KEY LARGO LANE, BOYNTON BEACH, FL, 33472, US 6196 KEY LARGO LANE, BOYNTON BEACH, FL, 33472, US

Contacts

Phone +1 610-390-4900
Fax 8667575778

Authorized person

Name ELIZABETH KLASKO
Role OWNER/MBR
Phone 6103904900

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
KLASKO ELIZABETH Agent 6196 KEY LARGO LANE, BOYNTON BEACH, FL, 33472

Manager

Name Role Address
KLASKO ELIZABETH Manager 6196 KEY LARGO LN, BOYNTON BEACH, FL, 33472

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-03-12
Florida Limited Liability 2021-04-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State