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Individual

MR. DATHAN J LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
4040 S TYLER ST, STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426
Mailing address
4040 S TYLER ST, STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/19/2010
Last updated
11/17/2017
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