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1942986146
AMANDA HOPE LANGE
FORT WAYNE, IN
NPI
1942986146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39004550A)
Enumeration Date
2023-06-23
Last Update Date
2024-01-09
Business Address
AMANDA HOPE LANGE
1802 MILLENNIUM XING
FORT WAYNE, IN 46845-8700
Phone number: 260-444-8523
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Mailing Address
AMANDA HOPE LANGE
1802 MILLENNIUM XING
FORT WAYNE, IN 46845-8700
Phone number: 260-444-8523
Copy
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