DANIEL RAY LANE

SHEPPARD AFB, TX
NPI1144310186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801076581)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- DANIEL RAY LANE LMSW
149 HART STREET 82 MEDICAL GROUP SGH
SHEPPARD AFB, TX 76311-3482
Phone number: 940-676-3022
Mailing Address
-- DANIEL RAY LANE LMSW
4803 OLYMPIC DRIVE
WICHITA FALLS, TX 76310
Phone number: 940-613-0757
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