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1700244332
ELAINE EVERDING
FORTY FORT, PA
NPI
1700244332
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Former Name
ELAINE ALTOE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS0177756)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- ELAINE EVERDING
150 WELLES ST
FORTY FORT, PA 18704-4966
Phone number: 570-338-2601
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Mailing Address
-- ELAINE EVERDING
34 ITALY ST
MOCANAQUA, PA 18655-1402
Phone number:
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