Individual
MRS. ELLEN MARGO KLEIN-SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3881 NE SUGARHILL AVE, JENSEN BEACH, FL 34957-3731
(772) 334-4035
(772) 334-4036
Mailing address
3881 NE SUGARHILL AVE, JENSEN BEACH, FL 34957-3731
(772) 334-4035
(772) 334-4036
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS0000535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z127B
BLUE CROSS/ BLUE SHIELD INSURANCE
FL
Enumeration date
03/21/2011
Last updated
03/21/2011
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