Individual
LAKEYATTA HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12557 NEW BRITTANY BLVD STE 3V-4, FORT MYERS, FL 33907-3651
(239) 202-3547
Mailing address
PO BOX 60446, FORT MYERS, FL 33906-6446
(239) 202-3547
(239) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
1041C0700X
Clinical Social Worker
—
FL
376J00000X
Homemaker
Primary
235989
FL
Other
Enumeration date
05/06/2019
Last updated
06/23/2022
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