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1972968550
ANDREA TANG
PORT ST LUCIE, FL
NPI
1972968550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13888)
Enumeration Date
2015-12-23
Last Update Date
2016-03-25
Business Address
-- ANDREA TANG
433 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983-8731
Phone number: 772-999-1438
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Mailing Address
-- ANDREA TANG
433 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983-8731
Phone number: 772-999-1438
Copy
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