Individual
ASHLEY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
2512 DAMMAN DR, APT. 203, MIDLAND, MI 48640-4541
(989) 513-2377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087798
MI
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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