ASSA DANELLE LANE

FAYETTEVILLE, NC
NPI1316606833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  LCAS-27551)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
MS. ASSA DANELLE LANE LCAS-A
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-378-3470
Mailing Address
MS. ASSA DANELLE LANE LCAS-A
10611 LANIER CLUB DR APT 305
RALEIGH, NC 27617-8550
Phone number: 919-614-5462
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