Individual
MS. MARY ELEANOR LANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1680 MERIDIAN AVE, SUITE 501, MIAMI BEACH, FL 33139-2703
(305) 531-5341
(305) 532-5322
Mailing address
1680 MERIDIAN AVE, SUITE 501, MIAMI BEACH, FL 33139-2703
(305) 531-5341
(305) 532-5322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW 1535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750584100
—
FL
05
—
767018400
—
FL
Enumeration date
01/04/2007
Last updated
11/22/2010
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