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1528734258
LACEY MARENA LANGSTON
JACKSONVILLE, FL
NPI
1528734258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16394)
Enumeration Date
2021-08-22
Last Update Date
2023-01-26
Business Address
Miss LACEY MARENA LANGSTON LCSW
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207-2822
Phone number: 904-648-8200
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Mailing Address
Miss LACEY MARENA LANGSTON LCSW
4310 METRO PKWY STE 205
FORT MYERS, FL 33916-9416
Phone number: 239-236-8784
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