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Individual

LANEE MICHELLE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11614 207TH ST, CAMBRIA HEIGHTS, NY 11411-1516
(929) 266-9366
Mailing address
11614 207TH ST, CAMBRIA HEIGHTS, NY 11411-1516
(929) 266-9366

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001340
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85-3739832
IRS
NY
Enumeration date
09/23/2021
Last updated
09/23/2021
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