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Organization
YOUNG MIND THERAPY, LLC
Active
Organization
YOUNG MIND THERAPY, LLC
Active
Other names
Nicole Langdon, LMSW
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE A LANGDON LMSW (CLINICAL SOCIAL WORKER)
(517) 290-3774
Entity
Organization
Contact information
Practice address
1235 E GRAND RIVER RD, WILLIAMSTON, MI 48895-8303
(517) 588-6083
Mailing address
1984 LIVE OAK TRL, WILLIAMSTON, MI 48895-9344
(517) 290-3774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164070967
NPI 1
MI
Enumeration date
10/11/2019
Last updated
10/11/2019
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