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Individual

MS. KAREN DENISE STANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
62898
DC
101YM0800X
Mental Health Counselor
MH7173
FL
101YP2500X
Professional Counselor
Primary
CC3663
ME
106H00000X
Marriage & Family Therapist
MT2435
FL

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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