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Individual
JEFF A. LANGE
Active
Individual
JEFF A. LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P8301
NE
Other
Enumeration date
01/16/2008
Last updated
08/24/2023
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