Individual
ANNIE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
215 S. MADISON AVENUE #310, PASADENA, CA 91101
(626) 466-6271
Mailing address
215 S. MADISON AVENUE #310, PASADENA, CA 91101
(626) 466-6271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28207
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/19/2007
Last updated
10/19/2012
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