SAMANTHA LANE

ROCKFORD, IL
NPI1063020246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  150.104514)
Enumeration Date2020-07-14
Last Update Date2020-07-14
Business Address
SAMANTHA LANE LSW
5402 APPLEWOOD CLOSE
ROCKFORD, IL 61114-5490
Phone number: 815-601-2555
Mailing Address
SAMANTHA LANE LSW
5402 APPLEWOOD CLOSE
ROCKFORD, IL 61114-5490
Phone number: 815-601-2555
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