Individual
SAMANTHA COLLEEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
616 VANN RD, SMITHS, AL 36877-2276
(575) 342-8009
Mailing address
616 VANN RD, SMITHS, AL 36877-2276
(575) 342-8009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
TX
1041C0700X
Clinical Social Worker
Primary
105127
TX
Other
Enumeration date
08/21/2023
Last updated
08/23/2023
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