Individual
BRITTANY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S ALMA SCHOOL RD STE 11000, MESA, AZ 85210-2086
(480) 994-9773
Mailing address
16345 W LATHAM ST, GOODYEAR, AZ 85338-6187
(623) 217-1752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-22351
AZ
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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