Individual
MRS. LARA JEAN LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, L.P.C.
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 225-5138
Mailing address
PO BOX 1106, ELK CITY, OK 73648-1106
(580) 225-5136
(580) 225-5138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2457
OK
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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