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Individual

JOY KWAI-LYN LANGENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8060 HWY 55 STE 100, ROCKFORD, MN 55373-9407
(612) 465-9910
Mailing address
397 ARLINGTON AVE W, SAINT PAUL, MN 55117-3514
(612) 203-3207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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