Organization
K LANE & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYONA LANE LCSW (THERAPIST/ OWNER)
(704) 577-4576
Entity
Organization
Contact information
Practice address
3095 P. S. BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(703) 653-0650
Mailing address
3095 P. S. BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(703) 653-0650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009514
VA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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