Individual
JENNY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1721 BOUL AVE, SWANSEA, IL 62226-4294
(618) 233-1054
Mailing address
1721 BOUL AVE, SWANSEA, IL 62226-4294
(618) 233-1054
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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