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Organization
THE HEALTH COACH, LLC
Active
Organization
THE HEALTH COACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA M JECKOVICH LCSW (MGR)
(716) 861-0701
Entity
Organization
Contact information
Practice address
635 1ST ST N STE C, WINTER HAVEN, FL 33881-4129
(716) 861-0701
Mailing address
2449 21ST ST NW, WINTER HAVEN, FL 33881-3809
(716) 861-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10256
FL
Other
Enumeration date
05/26/2018
Last updated
06/16/2018
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