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Individual
RYAN LANE
Active
Individual
RYAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134161
VT
Other
Enumeration date
06/12/2019
Last updated
12/21/2022
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