Individual
MRS. FELICIA B LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4419 PHEASANT RIDGE RD STE 200, ROANOKE, VA 24014-5267
(540) 315-5318
(540) 566-3320
Mailing address
4419 PHEASANT RIDGE RD STE 200, ROANOKE, VA 24014-5267
(540) 315-5318
(540) 566-3320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010211
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004945221
—
VA
Enumeration date
01/03/2018
Last updated
09/11/2023
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