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1972081586
TANISHA NEDELKA PRINS
GULFPORT, MS
NPI
1972081586
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C013248)
Enumeration Date
2018-08-06
Last Update Date
2023-06-28
Business Address
TANISHA NEDELKA PRINS LCSW, BCD
1800 DONG XOAI AVENUE BUILDING 60, ROOM 250
GULFPORT, MS 39501
Phone number: 224-381-2479
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Mailing Address
TANISHA NEDELKA PRINS LCSW, BCD
1736 CANTON AVE
NORFOLK, VA 23523-2308
Phone number: 224-381-2479
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