Individual
ANGELIQUE Y LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
402 N ZIMMERMAN RD, BEULAH, MI 49617-9528
(313) 595-4588
(313) 231-8824
Mailing address
402 N ZIMMERMAN RD, BEULAH, MI 49617-9528
(313) 595-4588
(231) 882-4821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801066278
MI
1041C0700X
Clinical Social Worker
6801066278
MI
Other
Enumeration date
07/13/2006
Last updated
03/20/2024
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