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1417784042
JAMES LANGE
DAYTON, OH
NPI
1417784042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA189415)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
JAMES LANGE CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
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Mailing Address
JAMES LANGE CDCA
8003 STATE ROUTE 366
RUSSELLS POINT, OH 43348-9632
Phone number:
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