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Individual

STEPHANIE LANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
100 W COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 245-0014
Mailing address
100 W COLUMBIA ST, ORLANDO, FL 32806-1006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH 11329
FL

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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