Individual
CONNIE D LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
302 MARTIN LUTHER KING JR ST, ROCKMART, GA 30153-1810
(770) 402-9827
Mailing address
302 MARTIN LUTHER KING JR ST, ROCKMART, GA 30153-1810
(770) 402-9827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
03072007
GA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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