Individual
KAREN BURKE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 MAIN ST STE 1, GRAY, ME 04039
(207) 894-0049
Mailing address
24 BRAND RD, WINDHAM, ME 04062-6103
(207) 892-5325
(207) 784-1359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10597
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098695
BLUE CROSS BLUE SHIELD
ME
Enumeration date
03/13/2007
Last updated
10/22/2018
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