LAKE NEURODIVERSITY, LLC

LEESBURG, FL
NPI1659157428
Entity TypeOrganization
Authorized ContactSUSAN M ANDREWS
Co Owner
352-460-1925
Organization Subpart ?No
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2023-09-06
Last Update Date2023-09-06
Business Address
LAKE NEURODIVERSITY, LLC
117 N 7TH ST
LEESBURG, FL 34748-5115
Phone number: 352-460-1925
Mailing Address
LAKE NEURODIVERSITY, LLC
12501 LAKE RIDGE CIR
CLERMONT, FL 34711-8585
Phone number: 352-460-1925
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