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1841333028
SUSAN LANE
WINTER PARK, FL
NPI
1841333028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL mft 2121)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- SUSAN LANE ms, lmft
501 N WYMORE RD
WINTER PARK, FL 32789-2808
Phone number: 407-975-2565
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Mailing Address
-- SUSAN LANE ms, lmft
2630 HARRISON AVE
ORLANDO, FL 32804-4441
Phone number: 407-492-6433
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