Individual
MRS. ELLEN ELAINE RENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 HICKORY STREAM LN FL 33860, MULBERRY, FL 33860-7914
(863) 640-8413
(863) 425-1411
Mailing address
4730 HICKORY STREAM LN FL 33860, MULBERRY, FL 33860-7914
(863) 640-8413
(863) 425-1411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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