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Individual

MRS. KAREN DIANE LANE-GARLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. A.

Contact information

Practice address
11352 CHISOLM WAY, BOCA RATON, FL 33428-1128
(561) 213-0120
(561) 483-5890
Mailing address
7301A W PALMETTO PARK RD, SUITE 304-B, BOCA RATON, FL 33433-3409
(561) 213-0120
(561) 483-5890

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS0000729
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z148U
BLUECROSS AND BLUESHIELD OF FLORIDA
FL
Enumeration date
06/13/2008
Last updated
06/13/2008
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