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1679905699
TISHA JANE LANE
FORT MYERS, FL
NPI
1679905699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-01
Last Update Date
2020-04-22
Business Address
Mrs. TISHA JANE LANE
15879 WILLOUGHBY LN
FORT MYERS, FL 33905-2416
Phone number: 239-349-0216
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Mailing Address
Mrs. TISHA JANE LANE
15879 WILLOUGHBY LN
FORT MYERS, FL 33905-2416
Phone number: 239-349-0216
Copy
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