BRENDA LANE

JACKSONVILLE, FL
NPI1669872461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 3602)
Enumeration Date2014-08-28
Last Update Date2014-08-28
Business Address
-- BRENDA LANE
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257-9220
Phone number: 904-419-6102
Mailing Address
-- BRENDA LANE
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257-9220
Phone number: 904-419-6102
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