Individual
MISS CLAUDIA MONICA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 COOK AVE, RATON, NM 87740
(575) 643-5258
(575) 445-2658
Mailing address
PO BOX 820, RATON, NM 87740-0820
(575) 643-5258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M05464
NM
1041S0200X
School Social Worker
M05464
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03634078
—
NM
Enumeration date
04/11/2007
Last updated
05/17/2010
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