Mary Lange, LICSW
NPI #1659727659 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1659727659
- Entity Type
- Individual
- Name
- Mary Lange, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 9, 2016
- Last Updated
- May 9, 2016
Practice Location
- Address
- 521 UNDERWOOD LN NW
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-1012
- Phone
- (507) 213-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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