Individual
MRS. CYNTHIA REBECCA LANE-HAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109
(703) 792-7800
(703) 792-5699
Mailing address
55 OVERLOOK DR, GROTON, MA 01450-1044
(571) 294-4138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04945247
—
VA
Enumeration date
10/29/2012
Last updated
07/09/2018
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