Individual
JACQUELINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W, L.C.S.W.
Contact information
Practice address
609 W LITTLETON BLVD STE 309, LITTLETON, CO 80120-2352
(720) 251-5628
(844) 203-9934
Mailing address
609 W. LITTLETON BLVD, SUITE 309, LITTLETON, CO 80120-2352
(720) 251-5628
(844) 203-9934
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW09923164
CLINICAL SOCIAL WORKER
CO
Enumeration date
08/10/2009
Last updated
08/19/2022
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