DAVID THOMAS LANE

MYRTLE BEACH, SC
NPI1114950045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  1955)
Enumeration Date2006-07-07
Last Update Date2015-05-15
Business Address
-- DAVID THOMAS LANE LCSW
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577-1893
Phone number: 843-457-2122
Mailing Address
-- DAVID THOMAS LANE LCSW
431 PLANTATION OAKS DR
MYRTLE BEACH, SC 29579-3663
Phone number: 843-457-2122
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