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1053473538
MICHELLE DENISE LANE
BOONTON, NJ
NPI
1053473538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC04734800)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE DENISE LANE MSW, LCSW
130 POWERVILLE RD MICA OUTPATIENT SERVICES , SAINT CLARES HOSPITAL
BOONTON, NJ 07005-8705
Phone number: 973-316-1894
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Mailing Address
Ms. MICHELLE DENISE LANE MSW, LCSW
PO BOX 276
BOONTON, NJ 07005-0276
Phone number: 973-479-7479
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