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Individual

KATHRYN LANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1017
ND
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/28/2023
Last updated
04/27/2026
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