Vondarius Lane

NPI #1053798041 in Jacksonville, Florida

Provider Information

NPI Number: 1053798041
Entity Type: Individual
Name: Vondarius Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 29, 2015
Last Updated: Apr 29, 2015

Practice Location

Address: 5210 BELFORT RD
City: Jacksonville
State: Florida
ZIP Code: 32256
Phone: (904) 646-6208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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