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Individual

SANDRA D LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CISW

Contact information

Practice address
21 WEST OMAHA STREET, NORTHLAND COUNSELING SERVICES, WASHBURN, WI 54891-4402
(715) 373-0160
(715) 373-0162
Mailing address
PO BOX 36, 21 WEST OMAHA STREET, WASHBURN, WI 54891-4402
(715) 373-0160
(715) 373-0162

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
993-122
WI

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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