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Individual

ALYSE LANGHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LLMSW

Contact information

Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
(989) 725-5061
Mailing address
PO BOX 428, OWOSSO, MI 48867-0428
(989) 723-6791
(989) 725-5061

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093455
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00260F7
HAP
MI
01
018113
MIDWEST MEDICAID
MI
01
750910401
BCCHRY
MI
01
7910401
BCBSFED
MI
01
XX19153
HEALTHPLUS
MI
Enumeration date
12/05/2011
Last updated
04/23/2013
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