Individual
JESSICA LYNN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 221-4380
Mailing address
917 BROADWAY, HANNIBAL, MO 63401-4200
(573) 221-2120
(573) 221-4380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015035781
MO
Other
Enumeration date
06/07/2016
Last updated
12/18/2024
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