Individual
ANNIE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3937 WESTERN BLVD, RALEIGH, NC 27606-1936
(919) 821-0790
(919) 861-8961
Mailing address
PO BOX 33393, RALEIGH, NC 27636-3393
(919) 821-0790
(919) 861-8961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50863
BCBS PROVIDER NUMBER
NC
05
—
6003336
—
NC
Enumeration date
11/01/2006
Last updated
07/20/2009
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