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Individual

BLAKE ANDREW LAWHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 E ROSE ST, LAKELAND, FL 33801-2016
(863) 669-7298
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
4673
FL

Other

Enumeration date
02/01/2020
Last updated
11/02/2023
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