| Weston Lange | |
|
125 N Broadway Sutie 2f Turlock CA 95380-4811 | |
| (209) 678-8680 | |
| (209) 667-8680 |
| Full Name | Weston Lange |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 125 N Broadway, Turlock, California |
| Authorized Official Name and Position | Weston Lange (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2096788680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Lange 125 N Broadway Sutie 2f Turlock CA 95380-4811 Ph: (209) 678-8680 | Weston Lange 125 N Broadway Sutie 2f Turlock CA 95380-4811 Ph: (209) 678-8680 |
| NPI Number | 1861830218 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861830218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21522 (California) | Primary |
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