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Individual

MISS CLAUDIA MONICA LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

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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