MR. Lane Edward Jennings JR., LCSW, MCAP
NPI #1134739543 in Port Orange, Florida
Provider Information
- NPI Number
- 1134739543
- Entity Type
- Individual
- Name
- MR. Lane Edward Jennings JR., LCSW, MCAP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, MCAP
- Enumeration Date
- Aug 1, 2020
- Last Updated
- Aug 1, 2020
Practice Location
- Address
- 5765 PENDLEBURY CT
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-7960
- Phone
- (386) 852-6281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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