| Mary Lange, LICSW | |
|
521 Underwood Ln Nw, Saint Michael, MN 55376-1012 | |
| (507) 213-4400 | |
| Not Available |
| Full Name | Mary Lange |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 521 Underwood Ln Nw, Saint Michael, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659727659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13162 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lange, LICSW 521 Underwood Ln Nw, Saint Michael, MN 55376-1012 Ph: (507) 213-4400 | Mary Lange, LICSW 521 Underwood Ln Nw, Saint Michael, MN 55376-1012 Ph: (507) 213-4400 |
Tonya Ann Dolly, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 703 Thielen Dr, Saint Michael, MN 55376 Phone: 763-515-4563 Fax: 763-497-0552 | |
Heidi Lee Haley-franklin, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Central Ave E, Suite A, Saint Michael, MN 55376 Phone: 763-515-4563 Fax: 763-497-0552 | |
Jennifer Suzanne Bromley, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 703 Thielen Dr, Saint Michael, MN 55376 Phone: 763-515-4563 Fax: 763-497-0552 |