Individual
STACEY MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2622 PIONEER AVE, CHEYENNE, WY 82001-3024
(307) 287-7685
(307) 248-5600
Mailing address
2622 PIONEER AVE, CHEYENNE, WY 82001-3024
(307) 287-7685
(307) 248-5600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
932
WY
Other
Enumeration date
02/21/2013
Last updated
07/27/2022
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