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Individual

MS. LANE RENE BEAUCHAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
460 ROY WAY, KENAI, AK 99611-8924
(907) 283-0653
(907) 283-0653
Mailing address
460 ROY WAY, KENAI, AK 99611-8924
(907) 283-0653
(907) 283-0653

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency

Other

Enumeration date
08/23/2007
Last updated
07/31/2008
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