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1538129838
JOHN P LANE
REDLANDS, CA
NPI
1538129838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19088)
Enumeration Date
2006-03-23
Last Update Date
2021-10-12
Business Address
JOHN P LANE LCSW
1150 BROOKSIDE AVE STE J3
REDLANDS, CA 92373-6303
Phone number: 909-435-7863
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Mailing Address
JOHN P LANE LCSW
32016 TEAL CT
YUCAIPA, CA 92399-7206
Phone number: 909-435-7863
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