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Individual

DANIELLE DOMINIQUE LANGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1286 E SALES YARD RD, EMMETT, ID 83617-9083
(208) 329-8421
Mailing address
5722 SILVER LEAF EXT, EMMETT, ID 83617-9667
(509) 760-7943

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60937927
WA

Other

Enumeration date
03/15/2019
Last updated
08/12/2021
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