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1740669811
ANDREA DENISE LANE
RALEIGH, NC
NPI
1740669811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20014)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
Ms. ANDREA DENISE LANE SAS
5200 SUMMIT MANOR LN APT 309
RALEIGH, NC 27613-7069
Phone number: 919-274-8356
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Mailing Address
Ms. ANDREA DENISE LANE SAS
5200 SUMMIT MANOR LN APT 309
RALEIGH, NC 27613
Phone number: 919-274-8356
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