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1811318546
MICHAEL LANE
EVERETT, WA
NPI
1811318546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-24
Last Update Date
2013-12-24
Business Address
-- MICHAEL LANE
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number: 425-259-3191
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Mailing Address
-- MICHAEL LANE
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number:
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