Individual
TERRY ALAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-6969
(337) 528-6970
Mailing address
700 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-6969
(337) 528-6970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7327
LA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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