Individual
CLARISSA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11839 VETERANS MEMORIAL HWY, FORT BLACKMORE, VA 24250-2676
(276) 248-8199
Mailing address
11839 VETERANS MEMORIAL HWY, FORT BLACKMORE, VA 24250-2676
(276) 248-8199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016578
VA
Other
Enumeration date
04/13/2023
Last updated
05/21/2024
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