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1568644292
KELLY MARIE LANGE
PLYMOUTH, MI
NPI
1568644292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI L1021506)
Enumeration Date
2007-12-05
Last Update Date
2016-08-16
Business Address
Mrs. KELLY MARIE LANGE M.A, L.L.P
42189 ANN ARBOR RD E
PLYMOUTH, MI 48170-4370
Phone number: 734-754-1172
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Mailing Address
Mrs. KELLY MARIE LANGE M.A, L.L.P
42189 ANN ARBOR RD E
PLYMOUTH, MI 48170-4370
Phone number: 734-754-1172
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