Individual
BEVERLY CLAIRE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1136 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 833-5902
(910) 833-5905
Mailing address
1136 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 833-5902
(910) 833-5905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008702
NC
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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