Individual
REBECCA J LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13510 N CREEK DR APT U204, MILL CREEK, WA 98012-4403
(425) 463-6143
Mailing address
13510 N CREEK DR APT U204, MILL CREEK, WA 98012-4403
(425) 463-6143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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