Provider Information for 1447376298
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MELISSA ELLIOT LMHC
Sex: Female
NPI: 1447376298
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1447376298 | ||||||||
| Enumeration Date | 2007-03-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1771 N SEMORAN BLVD ORLANDO, FL 32807-3544 United States Phone: 407-658-1818 | Fax:407-282-2891 | ||||||||
| Primary Practice Address | 1771 N SEMORAN BLVD ORLANDO, FL 32807-3544 United States Phone: 407-658-1818 | Fax:407-282-2891 | ||||||||
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