Individual
KATELYN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 COMMERCIAL ST STE 200, CONCORD, NH 03301-5094
(603) 883-0005
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2837
NH
Other
Enumeration date
10/10/2022
Last updated
12/09/2024
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