Individual
MAWOH LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14018 N WESTERN AVE, EDMOND, OK 73013-1977
(405) 302-2522
(405) 302-2522
Mailing address
1514 E LINDSEY ST APT M, NORMAN, OK 73071-2246
(405) 412-7334
(405) 412-7334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2014
Last updated
02/24/2015
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