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Individual

SARAH LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1322 S GRANT AVE, CHANUTE, KS 66720-2854
(620) 431-7890
Mailing address
1322 S GRANT AVE, CHANUTE, KS 66720-2854

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5199
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200962960A
KS
Enumeration date
07/02/2012
Last updated
02/09/2024
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