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1114018660
ELAINE TAN
LONGWOOD, FL
NPI
1114018660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH6775)
Enumeration Date
2006-09-28
Last Update Date
2008-07-29
Business Address
-- ELAINE TAN MS, LMHC
555 W STATE ROAD 434
LONGWOOD, FL 32750-5119
Phone number: 321-842-2175
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Mailing Address
-- ELAINE TAN MS, LMHC
3287 OAK LAKE PL
WINTER PARK, FL 32792-6556
Phone number:
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