Individual
KELSEY ANNE LANGILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 S RIVERSIDE AVE, MEDFORD, OR 97501-7837
(541) 203-0055
(541) 227-2356
Mailing address
PO BOX 631, MEDFORD, OR 97501-0043
(541) 203-0055
(541) 227-2356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
03/28/2026
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