COLETHA P LANE

JACKSONVILLE, FL
NPI1144372756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2007-01-17
Last Update Date2008-09-30
Business Address
Mrs. COLETHA P LANE
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
Mailing Address
Mrs. COLETHA P LANE
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
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