ROBERT R LANE

MASSILLON, OH
NPI1679124960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA171972)
Enumeration Date2019-09-27
Last Update Date2019-11-14
Business Address
ROBERT R LANE CDCA
1660 NAVE RD SE
MASSILLON, OH 44646-9604
Phone number: 330-837-9411
Mailing Address
ROBERT R LANE CDCA
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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