DATHAN J LANE

TACOMA, WA
NPI1629384375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-08-19
Last Update Date2017-11-17
Business Address
Mr. DATHAN J LANE B.S.
4040 S TYLER ST STE 9
TACOMA, WA 98409-2143
Phone number: 253-750-2664
Mailing Address
Mr. DATHAN J LANE B.S.
4040 S TYLER ST STE 9
TACOMA, WA 98409-2143
Phone number: 253-750-2664
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