Individual
DANIEL EDMUND LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 TRI PARK WAY, 10 TRI-PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Mailing address
10 TRI PARK WAY, 10 TRI-PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16-123
WI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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