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1730646894
SAMUEL ZACHARY LANGE
SANTA ROSA, CA
NPI
1730646894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 86694)
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
SAMUEL ZACHARY LANGE LMFT
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-293-6486
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Mailing Address
SAMUEL ZACHARY LANGE LMFT
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-293-6486
Copy
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