Individual
NANCY ERIN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 324-9169
Mailing address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104307
—
IA
Enumeration date
03/17/2016
Last updated
03/17/2016
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