PEGGY A LANE CSW

Dr PEGGY A LANE CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 1991.

Contact

300 CHURCH ST
YALESVILLE
CT
064922253

Tel: 2032657770

PEGGY A LANE CSW Information

Npi 1629185590
Pac Id 3072578608
Professional Enrollment Id I20041123000702
Last Name LANE
First Name PEGGY
Middle Name A
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 1991
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 300 CHURCH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City YALESVILLE
State CT
Zip Code 064922253
Phone Number 2032657770
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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