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MRS. PEGGY ARLENE LANE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1629185590

Individual Registrant:
MRS. PEGGY ARLENE LANE LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
300 CHURCH ST  YALESVILLE, CT 06492 US
Tel: 203-265-7770  Fax: 203-237-2360

Contact information for business:
300 CHURCH ST  YALESVILLE, CT 06492 US
Tel: 203-265-7770  Fax: 203-237-2360

Registration Information:
NPI: 1629185590
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT002938

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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