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1942554340
NYSSA JAE TAI
ORLANDO, FL
NPI
1942554340
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Former Name
NYSSA JAE OLNESS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW12579)
Enumeration Date
2012-11-07
Last Update Date
2018-01-23
Business Address
NYSSA JAE TAI LCSW, MCAP
232 N ORANGE BLOSSOM TRL
ORLANDO, FL 32805-1612
Phone number: 407-428-5751
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Mailing Address
NYSSA JAE TAI LCSW, MCAP
232 N ORANGE BLOSSOM TRL
ORLANDO, FL 32805-1612
Phone number: 407-428-5751
Copy
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