LANE EDWARD JENNINGS

PORT ORANGE, FL
NPI1134739543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  16345)
Enumeration Date2020-08-01
Last Update Date2020-08-01
Business Address
MR. LANE EDWARD JENNINGS LCSW, MCAP
5765 PENDLEBURY CT
PORT ORANGE, FL 32127-7960
Phone number: 386-852-6281
Mailing Address
MR. LANE EDWARD JENNINGS LCSW, MCAP
5765 PENDLEBURY CT
PORT ORANGE, FL 32127-7960
Phone number: 386-852-6281
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