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1477064632
KELLY LANGE
NEW YORK, NY
NPI
1477064632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 101079-1)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
KELLY LANGE LMSW
1841 PARK AVE
NEW YORK, NY 10035-1316
Phone number: 646-459-6091
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Mailing Address
KELLY LANGE LMSW
1841 PARK AVE
NEW YORK, NY 10035-1316
Phone number: 646-459-6091
Copy
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