Individual
MARNIE-JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 MISSIONARY RD, CROMWELL, CT 06416-2134
(860) 754-4862
(860) 632-3219
Mailing address
58 MISSIONARY RD, CROMWELL, CT 06416-2134
(860) 754-4862
(860) 632-3219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1010
CT
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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