| NPI | 1437406204 |
|---|---|
| Doing Business As | MARY JANE LANE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH KAY MUELLER Office Manager 314-251-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO CS001214) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |