Individual
MARK L STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
6677 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 932-8444
Mailing address
558 ASHLAND RD, ASHLAND, NE 68003-1192
(402) 301-1551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9652
NE
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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