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1023725819
JENNA LANE
MATTHEWS, NC
NPI
1023725819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A17813)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
JENNA LANE
9719 NORTHEAST PKWY
MATTHEWS, NC 28105-9712
Phone number: 704-443-8148
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Mailing Address
JENNA LANE
13209 INDIAN HILLS LN
CHARLOTTE, NC 28278-7140
Phone number:
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