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Individual

MS. MICHELE LINDA LANESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
4855 W HILLSBORO BLVD, SUITE B1, COCONUT CREEK, FL 33073-4356
(954) 345-5525
(954) 977-4978
Mailing address
4855 W HILLSBORO BLVD, SUITE B1, COCONUT CREEK, FL 33073-4356
(954) 345-5525
(954) 977-4978

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0001662
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z2192
BCBS FLA
FL
Enumeration date
10/04/2006
Last updated
07/29/2014
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