DAVID THOMAS LANE

MYRTLE BEACH, SC
NPI1114950045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  10663)
Enumeration Date2006-07-07
Last Update Date2024-12-19
Business Address
DAVID THOMAS LANE LISW-CP
470 ROSE FOUNTAIN DR
MYRTLE BEACH, SC 29579-4511
Phone number: 843-457-1775
Mailing Address
DAVID THOMAS LANE LISW-CP
470 ROSE FOUNTAIN DR
MYRTLE BEACH, SC 29579-4511
Phone number: 843-457-1775
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