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General NPI Number Information
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NPI Number | 1083556542
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Entity Type | Individual
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Provider Name | LANE MELANIE MOREIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 801 S 60TH ST
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City | WEST ALLIS
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State | WI
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Zip | 53214-9800
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Country | US
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Telephone | 414-257-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 W BRIAR LAKE WAY APT 2B
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City | OAK CREEK
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State | WI
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Zip | 53154-8174
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Country | US
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Telephone | 920-932-1013
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 103696875
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149031410
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License Number State | IL
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