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1083659445
LAURIE ANN DECKARD-TANKERSLEY
ORMOND BEACH, FL
NPI
1083659445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006688)
Enumeration Date
2006-06-19
Last Update Date
2018-04-19
Business Address
Dr. LAURIE ANN DECKARD-TANKERSLEY Psy.D.
137 MILL SPRING PL
ORMOND BEACH, FL 32174-4820
Phone number: 773-733-6629
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Mailing Address
Dr. LAURIE ANN DECKARD-TANKERSLEY Psy.D.
137 MILL SPRING PL
ORMOND BEACH, FL 32174-4820
Phone number: 773-733-6629
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