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Individual

ELIZABETH ANNE TAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9053
Mailing address
2955 WITHROW PL, SANTA CLARA, CA 95051-5538
(408) 243-1356

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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