Organization
MAELOUISE TENNANT, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAELOUISE TENNANT PH.D. (FAMILY THERAPIST)
(844) 796-4782
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD., BLDG. 4000, STE. 201, JUPITER, FL 33458
(844) 796-4782
Mailing address
PO BOX 432, WEST PALM BEACH, FL 33402
(844) 796-4782
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2672
FL
Other
Enumeration date
12/03/2014
Last updated
09/18/2024
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