Individual
MS. ELAINE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N HIATUS RD, SUITE 140/161, PEMBROKE PINES, FL 33026-3097
(954) 333-8787
(954) 333-8621
Mailing address
1000 N HIATUS RD, SUITE 140/161, PEMBROKE PINES, FL 33026-3097
(954) 333-8787
(954) 333-8621
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
838357
FL
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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