Individual
ERICA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 SOUTH ATLANTIC STREET, SEATTLE, WA 98144
(206) 454-3969
Mailing address
2103 S ATLANTIC ST, SEATTLE, WA 98144-3615
(206) 454-3969
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
171M00000X
WA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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