Most Relevant Information
Provider Data
| NPI Number: | 1003399114 |
| Provider Name: | LANE CASSIDY TESSENEER LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2018 |
| Last Updated: | 09/29/2022 |
Provider Practice Location
708 S CHESTNUT ST
GASTONIA
NC
280544548
Practice Location Phone/Fax
| Phone: | 7048653525 |
| Fax: |
Provider Mailing Location
PO BOX 4003
GASTONIA
NC
280540041
Provider Mailing Phone/Fax
| Phone: | 7048653525 |
| Fax: |