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Organization

FOUNDATIONS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TANYA MICHELLE RANDOLPH-ELGIN PSY.D. (PSYCHOLOGIST)
(402) 366-3411
Entity
Organization

Contact information

Practice address
302 E 4TH ST, STROMSBURG, NE 68666-4417
(402) 366-3411
(402) 764-4033
Mailing address
811 MAIN ST, STROMSBURG, NE 68666-3015
(402) 366-3411
(402) 764-4033

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/16/2009
Last updated
05/01/2015
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