Individual
MR. ALEXANDER BAILEY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2033 E EDGEWOOD DR STE 4, LAKELAND, FL 33803-3660
(638) 606-8097
Mailing address
620 W SHADY LN, LAKELAND, FL 33803-2052
(207) 347-9904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14232
FL
Other
Enumeration date
08/19/2009
Last updated
02/28/2025
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