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1457691883
STACEY MARIE LANE
CHEYENNE, WY
NPI
1457691883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 932)
Enumeration Date
2013-02-21
Last Update Date
2022-07-27
Business Address
STACEY MARIE LANE LCSW
2622 PIONEER AVE
CHEYENNE, WY 82001-3024
Phone number: 307-287-7685
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Mailing Address
STACEY MARIE LANE LCSW
2622 PIONEER AVE
CHEYENNE, WY 82001-3024
Phone number: 307-287-7685
Copy
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