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1316573454
STEPHANIE LANE
LONGVIEW, WA
NPI
1316573454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
STEPHANIE LANE
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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Mailing Address
STEPHANIE LANE
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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