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1346871951
BLAKE ANDREW LAWHORN
LAKELAND, FL
NPI
1346871951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL 4673)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-02-01
Last Update Date
2023-11-02
Business Address
BLAKE ANDREW LAWHORN
1010 E ROSE ST
LAKELAND, FL 33801-2016
Phone number: 863-669-7298
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Mailing Address
BLAKE ANDREW LAWHORN
5768 S SEMORAN BLVD
ORLANDO, FL 32822-4818
Phone number:
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