Individual
ELAINE WOODFORD LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
19 GRAND ST., MIDDLETOWN, CT 06457
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7096
CT
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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