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Individual

DANIEL JAMES LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
670 BOULEVARD DE FRANCE, BLDG 674, PARRIS ISLAND, SC 29902
(843) 228-2811
Mailing address
670 BOULEVARD DE FRANCE, BLDG 674, PARRIS ISLAND, SC 29902

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
UNLICENSED
VA

Other

Enumeration date
09/03/2024
Last updated
10/24/2025
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