Individual
SUSAN LEANN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9517 MAPLE LN, JOHNSTON, IA 50131-2790
(515) 343-9480
Mailing address
9517 MAPLE LN, JOHNSTON, IA 50131-2790
(515) 343-9480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00072
IA
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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