Klisa Lange

NPI #1407181993 in Creston, Iowa

Provider Information

NPI Number
1407181993
Entity Type
Individual
Name
Klisa Lange
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Oct 16, 2009
Last Updated
Oct 16, 2009

Practice Location

Address
903 E HOWARD ST
State
Iowa
ZIP Code
50801-2722
Phone
(641) 202-8771

Specialties & Taxonomy Codes

Specialty
Counselor

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