Daniel Edmund Lange, LCSW

NPI #1194809509 in Appleton, Wisconsin

Provider Information

NPI Number
1194809509
Entity Type
Individual
Name
Daniel Edmund Lange, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
10 TRI PARK WAY
Address 2
10 TRI-PARK WAY
ZIP Code
54914-1658
Phone
(920) 831-0070

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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