Samantha Lane, LSW

NPI #1063020246 in Rockford, Illinois

Provider Information

NPI Number
1063020246
Entity Type
Individual
Name
Samantha Lane, LSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LSW
Enumeration Date
Jul 14, 2020
Last Updated
Jul 14, 2020

Practice Location

Address
5402 APPLEWOOD CLOSE
ZIP Code
61114-5490
Phone
(815) 601-2555

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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