Individual
AMY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
81 HOLLY HILL LANE, GREENWICH, CT 06830
(203) 321-5063
Mailing address
81 HOLLY HILL LANE, GREENWICH, CT 06830
(203) 321-5063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
061533
NY
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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