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NPI Code Detail

MEDICARE: MS. STEPHANIE GAE DELANGE LCSW

MEDICARE:  MS. STEPHANIE GAE DELANGE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW 16279CA

General Provider Information

NPI Number : 1801084397
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE GAE DELANGE LCSW
Provider Business Mailing Address
First Line : PO BOX 641
Second Line :
City : LONG BEACH
State : CA
Zip : 90801-0641
Country : US
Telephone Number : 562-599-9271
Fax Number : 562-218-4076
Provider Business Practice Location Address
First Line : 1028 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-5017
Country : US
Telephone Number : 213-952-4284
Fax Number : 562-218-4076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 12/09/2015

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Directions to “ MS. STEPHANIE GAE DELANGE LCSW” Practice Location

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