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1023785219
KIRSTEN ALLISON LANGE
CLOVIS, CA
NPI
1023785219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
KIRSTEN ALLISON LANGE CATC III
2121 HERNDON AVE STE 102
CLOVIS, CA 93611-6302
Phone number: 970-209-7286
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Mailing Address
KIRSTEN ALLISON LANGE CATC III
50 PLAYA CIR
ALISO VIEJO, CA 92656-1621
Phone number: 970-209-7286
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