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1205495306
RYAN LANE
BURLINGTON, VT
NPI
1205495306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 151.0134161)
Enumeration Date
2019-06-12
Last Update Date
2022-12-21
Business Address
RYAN LANE MA
855 PINE ST
BURLINGTON, VT 05401-4924
Phone number: 802-488-6000
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Mailing Address
RYAN LANE MA
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920
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