DANIEL EDMUND LANGE

APPLETON, WI
NPI1194809509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  16-123)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- DANIEL EDMUND LANGE LCSW
10 TRI PARK WAY 10 TRI-PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-0070
Mailing Address
-- DANIEL EDMUND LANGE LCSW
10 TRI PARK WAY 10 TRI-PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-0070
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