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1194876045
JEFFERY LANGE
SOUTH ELGIN, IL
NPI
1194876045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.019772)
Enumeration Date
2007-01-16
Last Update Date
2024-02-02
Business Address
JEFFERY LANGE LPC
397 LOWELL DR
SOUTH ELGIN, IL 60177-2927
Phone number: 815-451-3603
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Mailing Address
JEFFERY LANGE LPC
397 LOWELL DR
SOUTH ELGIN, IL 60177-2927
Phone number:
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