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Organization
LA BONNE MAISON, LLC
Active
Organization
LA BONNE MAISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G HATTEN (DIRECTOR/OWNER)
(800) 824-8580
Entity
Organization
Contact information
Practice address
202 LAKE MIRIAM DRIVE SUITE E13, LAKELAND, FL 33813
(800) 824-8580
(863) 619-7622
Mailing address
202 LAKE MIRIAM DR STE E13, LAKELAND, FL 33813-2142
(800) 824-8580
(863) 619-7622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0004793
FL
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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