Individual
OLIVIA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HARRIET ST, BRIGHTON, MA 02135-2143
(603) 866-1112
Mailing address
90 HARRIET ST, BRIGHTON, MA 02135-2143
(603) 866-1112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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