Individual
MS. LAURA L. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-0303
(660) 425-8235
Mailing address
506 SOUTH ST, BETHANY, MO 64424-1770
(660) 425-4155
(660) 425-4155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003009682
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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