Individual
MS. LANA SUE WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 PARK BLVD, PINELLAS PARK, FL 33781-3540
(727) 235-3429
Mailing address
6801 31ST AVE N, ST PETERSBURG, FL 33710-3007
(727) 345-1481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH6672
FL
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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