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1528676582
CAROLINE M LANE
CHESAPEAKE, VA
NPI
1528676582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
CAROLINE M LANE LMSW-ACP, QMHP, CSAC
3322 WESTERN BRANCH BLVD STE A
CHESAPEAKE, VA 23321-5142
Phone number: 757-673-3644
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Mailing Address
CAROLINE M LANE LMSW-ACP, QMHP, CSAC
PO BOX 54
MOYOCK, NC 27958-0054
Phone number: 757-716-8364
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