Beverly Claire Lane, LCSW
Social Worker, Clinical in Wilmington, NC. Individual provider (NPI-1).
NPI number1629583166
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1629583166
- Entity type
- Individual (NPI-1)
- Name
- Beverly Claire Lane
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C008702 | NC | Yes |
Other names
- Claire Lane (Professional Name)
Practice location
1136 Shipyard BlvdWilmington, NC 28412-6439
Phone 910-833-5902 · Fax 910-833-5905
Mailing address
1136 Shipyard BlvdWilmington, NC 28412-6439
Phone 910-833-5902 · Fax 910-833-5905
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