Individual
MRS. BRITTANY KAVANAUGH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1425 FOREST MARSH DRIVE, NEPTUNE BEACH, FL 32266-6405
(352) 284-7601
Mailing address
1425 FOREST MARSH DR, NEPTUNE BEACH, FL 32266-6405
(352) 284-7601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7676
FL
Other
Enumeration date
08/29/2006
Last updated
09/30/2016
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