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1225594005
KELLY LANE
TAMPA, FL
NPI
1225594005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 16685)
Enumeration Date
2019-02-16
Last Update Date
2019-02-16
Business Address
KELLY LANE LMHC
7821 N DALE MABRY HWY
TAMPA, FL 33614-3275
Phone number: 813-443-4827
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Mailing Address
KELLY LANE LMHC
3705 HARROGATE DR
VALRICO, FL 33596-8401
Phone number:
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