Organization
MARY JANE LANE LMFT LLC
Active
Other names
Mary Jane Lane LMFT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE LANE LPC LMFT (PROVIDER)
(314) 805-2947
Entity
Organization
Contact information
Practice address
412 S CLAY AVE # 212, KIRKWOOD, MO 63122-5860
(314) 805-2977
(314) 822-9696
Mailing address
412 S CLAY AVE # 212, KIRKWOOD, MO 63122-5860
(314) 805-2977
(314) 822-9696
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/27/2019
Last updated
06/11/2019
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