Individual
ELEANOR LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW.LICSW
Contact information
Practice address
51 MILL STREET, SUITE 8, HANOVER, MA 02339
(781) 826-5826
Mailing address
51 MILL STREET, SUITE 8, HANOVER, MA 02339
(781) 826-5826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1027145
MA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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