Individual
JOSHUA JOSEPH LANGE-CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1112
Mailing address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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