Smadar De Lange
NPI #1265759872 in San Rafael, California
Provider Information
- NPI Number
- 1265759872
- Entity Type
- Individual
- Name
- Smadar De Lange
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 23, 2010
- Last Updated
- Apr 23, 2010
Practice Location
- Address
- 1330 LINCOLN AVE
- Address 2
- SUITE 201
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-2120
- Phone
- (415) 459-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| Shana Gaviglio Kenney | |
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Organizations
| Provider Name | |
|---|---|
| Family Service Agency | |
| Marin Outpatient Recovery Services | |
| Bay Area Community Resources, INC |
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