Individual
MR. GORDON ALAN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
14 MORTON ST, WATERTOWN, MA 02472-2249
(617) 821-2933
Mailing address
14 MORTON ST, WATERTOWN, MA 02472-2249
(617) 821-2933
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
113694-1
MA
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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