Individual
DAVID THOMAS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
470 ROSE FOUNTAIN DR, MYRTLE BEACH, SC 29579-4511
(843) 457-1775
Mailing address
470 ROSE FOUNTAIN DR, MYRTLE BEACH, SC 29579-4511
(843) 457-1775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10663
SC
Other
Enumeration date
07/07/2006
Last updated
02/12/2026
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