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Individual

MS. SUSAN MARGARET LAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1482 PALOMINO WAY, OVIEDO, FL 32765-9303
(407) 542-1391
Mailing address
1482 PALOMINO WAY, OVIEDO, FL 32765-9303
(407) 542-1391

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6906650
FL

Other

Enumeration date
12/19/2013
Last updated
02/20/2014
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