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1184322091
KEVIN LANE
STUART, FL
NPI
1184322091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 21630)
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
Mr. KEVIN LANE LMHC
2061 NW 21ST TER
STUART, FL 34994-8839
Phone number: 772-208-9454
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Mailing Address
Mr. KEVIN LANE LMHC
2061 NW 21ST TER APT 102
STUART, FL 34994-8839
Phone number: 561-252-4971
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