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Individual

ALLEGRA LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 522-4656
(909) 763-5525
Mailing address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 522-4656
(909) 763-5525

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
117287
CA
106H00000X
Marriage & Family Therapist
IMF 80332
CA

Other

Enumeration date
08/13/2012
Last updated
08/05/2020
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