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Individual
MARK WILLIAM LANGE
Active
Individual
MARK WILLIAM LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED LMFT LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4668
MA
106H00000X
Marriage & Family Therapist
Primary
1185
MA
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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