Individual
ADAM LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1869
(860) 963-6385
(860) 963-6034
Mailing address
189 GOSHEN RD, MOOSUP, CT 06354-2012
(860) 450-6500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10717
CT
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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