Philip B Tange, MSW

NPI #1710992698 in Brainerd, Minnesota

Provider Information

NPI Number
1710992698
Entity Type
Individual
Name
Philip B Tange, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Jul 29, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
617 OAK ST
ZIP Code
56401-3610
Phone
(218) 829-7140

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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