TISHA JANE LANE

FORT MYERS, FL
NPI1679905699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-01
Last Update Date2020-04-22
Business Address
Mrs. TISHA JANE LANE
15879 WILLOUGHBY LN
FORT MYERS, FL 33905-2416
Phone number: 239-349-0216
Mailing Address
Mrs. TISHA JANE LANE
15879 WILLOUGHBY LN
FORT MYERS, FL 33905-2416
Phone number: 239-349-0216
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