ANDREA TANG

PORT ST LUCIE, FL
NPI1972968550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH13888)
Enumeration Date2015-12-23
Last Update Date2016-03-25
Business Address
ANDREA TANG
433 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983-8731
Phone number: 772-999-1438
Mailing Address
ANDREA TANG
433 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983-8731
Phone number: 772-999-1438