Individual
ASHLEIGH NICOLE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14786 W ALEXANDRIA WAY, SURPRISE, AZ 85379-4232
(816) 929-1802
Mailing address
14786 W ALEXANDRIA WAY, SURPRISE, AZ 85379-4232
(816) 929-1802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-20471
AZ
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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