Organization
ELEPHANT CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY PACKIAM ALLOWAY PHD (LICENSED PSYCHOLOGIST)
(904) 860-4813
Entity
Organization
Contact information
Practice address
8 UNF DR # 221, JACKSONVILLE, FL 32224-7699
(904) 860-4813
Mailing address
8 UNF DR # 221, JACKSONVILLE, FL 32224-7699
(904) 860-4813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/09/2020
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