Individual
ALICIA GAIL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW STUDENT
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
Mailing address
185 POPLAR ESTATES DR, SCOTT DEPOT, WV 25560-7268
(304) 859-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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