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Organization
LAVENDER NEST LLC
Active
Organization
LAVENDER NEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY CLINTON PHD, LCSW (FOUNDER/CLINICAL DIRECTOR)
(850) 296-2493
Entity
Organization
Contact information
Practice address
1114 THOMASVILLE RD STE A, TALLAHASSEE, FL 32303-6290
(850) 296-2493
Mailing address
PO BOX 332, LLOYD, FL 32337-0332
(850) 296-2493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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