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1215180633
MATTHEW DEAN LANGE
RAPID CITY, SD
NPI
1215180633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SD 2169)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- MATTHEW DEAN LANGE LPC-MH
1501 E CENTRE ST SUITE 200
RAPID CITY, SD 57703-3002
Phone number: 605-787-4205
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Mailing Address
-- MATTHEW DEAN LANGE LPC-MH
1501 E CENTRE ST SUITE 200
RAPID CITY, SD 57703-3002
Phone number: 605-787-4205
Copy
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