Provider Information for 1982904181
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Mrs. LAUREN JORDAN MYERS LCSW
Sex: Female
NPI: 1982904181
Last Updated: 2014-10-02
Certification Date:
Certification Date:
Details
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NPI | 1982904181 | ||||||||
Enumeration Date | 2010-10-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 413 SHRIKE DR SATELLITE BEACH, FL 32937-5664 United States Phone: 337-322-2611 | Fax: | ||||||||
Primary Practice Address | 1363 HIGHWAY A1A SATELLITE BEACH, FL 32937-2407 United States Phone: 321-777-0119 | Fax: | ||||||||
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