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1447693643
MEGAN ELIZABETH DE LA PORTILLA
LARGO, FL
NPI
1447693643
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Former Name
MEGAN ELIZABETH HAUF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 13281)
Enumeration Date
2013-04-08
Last Update Date
2015-11-12
Business Address
Mrs. MEGAN ELIZABETH DE LA PORTILLA LCSW
8823 115TH AVE
LARGO, FL 33773-4922
Phone number: 727-547-4566
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Mailing Address
Mrs. MEGAN ELIZABETH DE LA PORTILLA LCSW
620 BAYWAY BLVD APT. 4
CLEARWATER, FL 33767-2669
Phone number: 443-690-0642
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