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1194366807
KELLY M. LANGE, M.A, L.L.P
PLYMOUTH, MI
NPI
1194366807
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Entity Type
Organization
Authorized Contact
KELLY MARIE LANGE
Clinician
734-754-1172
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
KELLY M. LANGE, M.A, L.L.P
496 W ANN ARBOR TRL STE 106
PLYMOUTH, MI 48170-6262
Phone number: 734-754-1172
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Mailing Address
KELLY M. LANGE, M.A, L.L.P
41422 STRAWBERRY CT
CANTON, MI 48188-5244
Phone number: 734-754-1172
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