Sandra D Lane, CISW

NPI #1316248057 in Washburn, Wisconsin

Provider Information

NPI Number: 1316248057
Entity Type: Individual
Name: Sandra D Lane, CISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CISW
Enumeration Date: Nov 11, 2010
Last Updated: Nov 11, 2010

Practice Location

Address: 21 WEST OMAHA STREET
Address 2: NORTHLAND COUNSELING SERVICES
City: Washburn
State: Wisconsin
ZIP Code: 54891-4402
Phone: (715) 373-0160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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