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1538788039
JANA MARIE LIPTAK
LADY LAKE, FL
NPI
1538788039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH22513)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-04-14
Last Update Date
2023-08-07
Business Address
JANA MARIE LIPTAK
379 FENNELL BLVD
LADY LAKE, FL 32159-3185
Phone number: 352-633-5253
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Mailing Address
JANA MARIE LIPTAK
379 FENNELL BLVD
LADY LAKE, FL 32159-3185
Phone number: 352-633-5253
Copy
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