LAKE NEURODIVERSITY, LLC

LEESBURG, FL
NPI1790544658
Entity TypeOrganization
Authorized ContactSUSAN ANDREWS
Co Owner, Psychologist
352-348-6989
Organization Subpart ?No
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2024-03-14
Last Update Date2024-03-14
Business Address
LAKE NEURODIVERSITY, LLC
711 W MAIN ST STE 127
LEESBURG, FL 34748-5128
Phone number: 352-460-1925
Mailing Address
LAKE NEURODIVERSITY, LLC
711 W MAIN ST STE 127
LEESBURG, FL 34748-5128
Phone number: 352-460-1925
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