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1982488821
JENNIE FAY LYONS
LAKE CITY, FL
NPI
1982488821
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Former Name
JENNIE FAY KINCHELOE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15443)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
JENNIE FAY LYONS LCSW
6037 W US HIGHWAY 90
LAKE CITY, FL 32055-8196
Phone number: 386-961-0155
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Mailing Address
JENNIE FAY LYONS LCSW
2835 SW MAYO RD
LAKE CITY, FL 32024-0509
Phone number: 386-961-3098
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