Individual
CAROL M LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
41 LINNAEAN ST APT 45, CAMBRIDGE, MA 02138-1571
(617) 868-6866
Mailing address
41 LINNAEAN ST APT 45, CAMBRIDGE, MA 02138-1571
(617) 868-6866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103525-1
MA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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