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Individual

LAURA LYNN MOHEKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
620 SUNSET LN, MERRITT ISLAND, FL 32952-5308
(321) 449-4042
Mailing address
620 SUNSET LN, MERRITT ISLAND, FL 32952-5308
(321) 449-4042

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
677891701
FL
05
677891768
FL
05
677891796
FL
Enumeration date
02/25/2011
Last updated
02/25/2011
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