Individual
ELEAZAR UDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1144 E DONEGAN AVE, KISSIMMEE, FL 34744-1932
(407) 344-0312
Mailing address
5055 ASBURY PARKE DR, APT 201, LAKELAND, FL 33805-3571
(863) 510-6190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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