Individual
MRS. KATHI JEAN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCSW, ACSW
Contact information
Practice address
303 S PERRY ST, ATTICA, IN 47918-1441
(765) 762-0611
(765) 762-1753
Mailing address
PO BOX 340, 303 SOUTH PERRY STREET, ATTICA, IN 47918-0340
(765) 762-0611
(765) 762-1753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000883A
IN
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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