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1063994911
MEGHAN LANE
MEDFORD, OR
NPI
1063994911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11597)
Enumeration Date
2018-09-06
Last Update Date
2024-02-08
Business Address
MEGHAN LANE QMHA, Intern QMHP
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
MEGHAN LANE QMHA, Intern QMHP
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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