Individual
ALYSE LANGHORST
Active
Individual
ALYSE LANGHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LLMSW
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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