Individual
LYNN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 CROWN POINTE PKWY, STE 450, ATLANTA, GA 30338-7707
(866) 325-5434
(866) 325-5340
Mailing address
118 STEWART ST, ST SIMONS ISLAND, GA 31522-2737
(912) 580-7204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003023
GA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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