Individual
CHARLES J LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEETING HOUSE RD STE 11, CHELMSFORD, MA 01824-2737
(978) 485-4722
Mailing address
37 SNOW ST APT 2, BRIGHTON, MA 02135-3412
(857) 210-4072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228640
MA
Other
Enumeration date
12/09/2024
Last updated
01/06/2025
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