Individual
ALISSA LANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 459-7215
Mailing address
1618 WALDORF ST NW, GRAND RAPIDS, MI 49544-1430
(508) 728-7817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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