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Mary Jensen
Developmental Disabilities Clinic/Center in Lecanto, Florida
NPI 1356859672

Mary Jensen is a Developmental Disabilities Clinic/Center based in Lecanto, FL and is specialized in Developmental Disabilities. Mary Jensen practices in Lecanto, FL. The NPI Number for Mary Jensen is 1356859672 and holds a License No. (Florida).

The current practice location address for Mary Jensen is 3070 W Cardinal St, Lecanto, FL and can be reached out via phone at 352-287-9427.

Location: 3070 W Cardinal St, Lecanto, FL, 34461-9539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356859672
Provider Name
Mary Jensen
Credential
Provider Entity Type
Individual
Gender
Female
Address
3070 W Cardinal St, Lecanto, FL, 34461-9539
Phone Number
352-287-9427
Fax Number
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3070 W Cardinal St
City
Lecanto
State
Florida
Zip
34461-9539
Phone Number
352-287-9427
Fax Number
person
Provider Business Mailing Address Details
Address
3070 W Cardinal St
City
Lecanto
State
Florida
Zip
34461-9539
Phone Number
352-287-9427
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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