# TAMARA LANGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992246581
- **Gender:** F
- **Credential:** M.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 3031612 | MA | — |
| 106H00000X | Marriage & Family Therapist | 1178 | MA | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 03/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04-2867023 | — | MA |