| NPI | 1861034704 |
|---|---|
| Other Name | NICOLE LANGDON, LMSW |
| Entity Type | Organization |
| Authorized Contact | NICOLE A LANGDON Clinical Social Worker 517-290-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |