NATALIE LANE

BRONX, NY
NPI1114165883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  11930)
Enumeration Date2009-02-03
Last Update Date2009-02-03
Business Address
-- NATALIE LANE
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-901-8747
Mailing Address
-- NATALIE LANE
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: