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1992778435
MARK EDWARD LANE
ALBANY, NY
NPI
1992778435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R045735-1)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Mr. MARK EDWARD LANE LCSW-R
5 PINE WEST PLAZA, SUITE 508
ALBANY, NY 12205
Phone number: 518-421-2628
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Mailing Address
Mr. MARK EDWARD LANE LCSW-R
186 WESTCHESTER DR S
DELMAR, NY 12054-4212
Phone number: 518-421-2628
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