Jacquelyn Golden Lane's National Provider Identifier (NPI) Details
Jacquelyn Golden Lane, LMSW
NPI: 1861932501
Enumeration Date: 2017-02-28
Last updated: 2017-03-14
Sole Proprietor: YES
Status: active
Postal Address: 6549 TOWN CENTER DR, SUITE A, CLARKSTON, MI
Phone: 248-620-6400
Primary Practice Address: 32961 MIDDLEBELT RD, FARMINGTON HILLS, MI
Practice's phone: 248-855-1540