WANDA LYNN LAINE

LOWELL, MA
NPI1871001594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  CAP100114)
Enumeration Date2018-01-16
Last Update Date2018-01-16
Business Address
WANDA LYNN LAINE CAP
650 SUFFOLK ST
LOWELL, MA 01854-3642
Phone number: 978-452-5155
Mailing Address
WANDA LYNN LAINE CAP
10 RADCLIFFE DR
HUDSON, NH 03051-4743
Phone number: 603-305-4048