Individual
ABIGAIL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
(763) 569-5200
(763) 569-5201
Mailing address
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427-4363
(763) 227-2054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21249
MN
Other
Enumeration date
10/06/2014
Last updated
03/17/2023
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