Individual
STANLEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Contact information
Practice address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
(304) 623-2989
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
(304) 623-2989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00944271
WV
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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