KELLY ANN KING LANGE

RICHMOND, VA
NPI1548907892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904013959)
Enumeration Date2022-05-18
Last Update Date2022-05-18
Business Address
KELLY ANN KING LANGE LCSW
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229-5105
Phone number: 954-465-7494
Mailing Address
KELLY ANN KING LANGE LCSW
3128 PARKWOOD AVE
RICHMOND, VA 23221-3537
Phone number: 954-465-7494
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