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1548752058
WILLIAM LANE
FORT WORTH, TX
NPI
1548752058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
WILLIAM LANE
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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Mailing Address
WILLIAM LANE
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
Copy
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