Individual
MS. CATHERINE DETWEILER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014
(540) 981-8181
(540) 342-3247
Mailing address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 655-0309
(540) 342-3247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008748
VA
Other
Enumeration date
10/15/2014
Last updated
07/20/2018
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