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1942508965
JESSICA LANGE
BROOKFIELD, WI
NPI
1942508965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4525-125)
Enumeration Date
2011-03-01
Last Update Date
2015-02-10
Business Address
Mrs. JESSICA LANGE M.A., LPC
12720 W NORTH AVE BUILDING B SUITE 200
BROOKFIELD, WI 53005-4637
Phone number: 262-285-1500
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Mailing Address
Mrs. JESSICA LANGE M.A., LPC
12720 W NORTH AVE BUILDING B, SUITE 200
BROOKFIELD, WI 53005-4637
Phone number: 262-785-1500
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