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1760876809
ELAINE IRIS JIMENEZ
LUTZ, FL
NPI
1760876809
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Former Name
ELAINE IRIS COLON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-03-26
Last Update Date
2020-07-28
Business Address
Mrs. ELAINE IRIS JIMENEZ LMHC
1515 MICHELIN CT
LUTZ, FL 33549-7533
Phone number: 813-949-8946
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Mailing Address
Mrs. ELAINE IRIS JIMENEZ LMHC
1644 LUDINGTON AVE
WESLEY CHAPEL, FL 33543-7603
Phone number: 813-368-3052
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