Individual
DANIEL RAY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
149 HART STREET, 82 MEDICAL GROUP SGH, SHEPPARD AFB, TX 76311-3482
(940) 676-3022
Mailing address
4803 OLYMPIC DRIVE, WICHITA FALLS, TX 76310
(940) 613-0757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801076581
MI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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