Individual
ELAINE BARNICLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5484 TRAKIA TRL, PORT ORANGE, FL 32128-3798
(386) 366-4344
Mailing address
5484 TRAKIA TRL, PORT ORANGE, FL 32128-3798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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