Individual
BREANNA K LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Mailing address
32715 DORSEY ST, WESTLAND, MI 48186-4755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/20/2020
Last updated
12/23/2024
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