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1083019145
KATHLEEN MARIE LANGE
BETHEL, AK
NPI
1083019145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-30
Last Update Date
2014-10-30
Business Address
-- KATHLEEN MARIE LANGE
829 CHIEF EDDIE HOFFMAN HWY SUITE 150
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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Mailing Address
-- KATHLEEN MARIE LANGE
PO BOX 528 ATTN: BEHAVIORAL HEALTH
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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