Individual
JACKSON LANGLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 INDEPENDENCE PLZ STE 720, HOMEWOOD, AL 35209-2655
(205) 924-3116
Mailing address
2050 LANCASTER RD, HOMEWOOD, AL 35209-4248
(205) 913-6137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04911
AL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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