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Individual
PROF. WILLIAM DAVID LANE
Active
Individual
PROF. WILLIAM DAVID LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001745
GA
106H00000X
Marriage & Family Therapist
MFT000754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52205944
BCBS
GA
01
—
7045899
AETNA
GA
01
—
LPC001745
PROFESSIONAL COUNSELOR
GA
01
—
MFT000754
MARRAIGE & FAMILY THERAP
GA
Enumeration date
04/17/2007
Last updated
04/30/2008
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