Nicole Annette Langdon, LMSW, SSW
Social Worker, Clinical in Williamston, MI. Individual provider (NPI-1).
NPI number1164070967
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1164070967
- Entity type
- Individual (NPI-1)
- Name
- Nicole Annette Langdon
- Credential
- LMSW, SSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801085101 | MI | Yes |
Practice location
1235 E Grand River RdWilliamston, MI 48895-8303
Phone 517-290-3774
Mailing address
1984 Live Oak TrlWilliamston, MI 48895-9344
Phone 517-290-3774
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