Individual
ANNIE FORBES LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 GALLIA ST, PORTSMOUTH, OH 45662-4139
(740) 529-2125
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00942485
WV
104100000X
Social Worker
Primary
S.1903661
OH
Other
Enumeration date
07/13/2017
Last updated
05/13/2022
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