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Lane Winslor Harris JR.
Mental Health Counselor in Lake Wales, Florida
NPI 1467966333

Lane Winslor Harris JR. is a Mental Health Counselor based in Lake Wales, FL and is specialized in Mental Health. Lane Winslor Harris JR. practices in Lake Wales, FL. The NPI Number for Lane Winslor Harris JR. is 1467966333 and holds a License No. (Florida).

The current practice location address for Lane Winslor Harris JR. is 703 Greenbrough Dr, Lake Wales, FL and can be reached out via phone at 863-651-2208.

Location: 703 Greenbrough Dr, Lake Wales, FL, 33853-3339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467966333
Provider Name
Lane Winslor Harris JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
703 Greenbrough Dr, Lake Wales, FL, 33853-3339
Phone Number
863-651-2208
Fax Number
Provider Enumeration Date
11/29/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 Greenbrough Dr
City
Lake Wales
State
Florida
Zip
33853-3339
Phone Number
863-651-2208
Fax Number
person
Provider Business Mailing Address Details
Address
703 Greenbrough Dr
City
Lake Wales
State
Florida
Zip
33853-3339
Phone Number
863-651-2208
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
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