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Individual

ASHLEY LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
(612) 268-5868
Mailing address
7720 PENN AVE S APT 130, MINNEAPOLIS, MN 55423-3671

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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