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1841317674
JENNIFER NICOLE LANGE
ROSEVILLE, CA
NPI
1841317674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 41570)
Enumeration Date
2007-03-25
Last Update Date
2007-07-08
Business Address
-- JENNIFER NICOLE LANGE MFT
609 OAK ST
ROSEVILLE, CA 95678-3245
Phone number: 916-412-8503
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Mailing Address
-- JENNIFER NICOLE LANGE MFT
609 OAK ST
ROSEVILLE, CA 95678-3245
Phone number: 916-412-8503
Copy
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