Provider Information for 1194304766
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EYKIENA LUNDI LCSW
Other Names:Former Name:EYKIENA CROWLEYSex: Female
NPI: 1194304766
Last Updated: 2024-06-10
Certification Date: 2024-06-10
Certification Date: 2024-06-10
Details
Name | Value | ||||||||
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NPI | 1194304766 | ||||||||
Enumeration Date | 2021-04-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 260 WILLIAMSON BLVD ORMOND BEACH, FL 32174-8257 United States Phone: 321-294-5683 | Fax: | ||||||||
Primary Practice Address | 7901 4TH ST N ST PETERSBURG, FL 33702-4305 United States Phone: 321-294-5683 | Fax: | ||||||||
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