JOHN LANE

FORT SMITH, AR
NPI1447671391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- JOHN LANE
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
Mailing Address
-- JOHN LANE
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
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