Individual
ELISA KAITLYN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 ELLICOTT ST, BATAVIA, NY 14020-3650
(585) 815-0247
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/22/2022
Last updated
11/29/2022
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