Individual
LONESHIA KIARA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(180) 033-0561
Mailing address
885 NW PARNELL AVE, LAKE CITY, FL 32055-5656
(385) 697-1658
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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