Cynthia Louise Lange, LLC
NPI #1174170708 in Pocatello, Idaho
Provider Information
- NPI Number
- 1174170708
- Entity Type
- Organization
- Organization Name
- Cynthia Louise Lange, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 19, 2019
- Last Updated
- Aug 19, 2019
Practice Location
Authorized Official
- Name
- DEBORAH A GOSS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (208) 221-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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