Individual
CHAVOITA LESANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 SW FLAGLER AVE, SUITE 301, STUART, FL 34994-2148
(678) 793-8421
Mailing address
49 SW FLAGLER AVE, SUITE 301, STUART, FL 34994-2148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2766
FL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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