Organization
SUSAN LANGSTRAAT LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WISNESKI (BILLER)
(913) 963-0958
Entity
Organization
Contact information
Practice address
2151 COUNTY ROAD 228, FULTON, MO 65251-3449
(573) 999-6207
Mailing address
2151 COUNTY ROAD 228, FULTON, MO 65251-3449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/17/2022
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