ELAINE BANTA

JUPITER, FL
NPI1346412780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY4354)
Enumeration Date2008-03-26
Last Update Date2008-03-26
Business Address
Dr. ELAINE BANTA PhD
725 NA1A STE B106
JUPITER, FL 33477
Phone number: 561-427-0144
Mailing Address
Dr. ELAINE BANTA PhD
725 NA1A STE B106
JUPITER, FL 33477
Phone number: 561-427-0144
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