Organization
KEISHA J. LANGOLF, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA LANGOLF LCSW (MEMBER)
(502) 817-0927
Entity
Organization
Contact information
Practice address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 496-4310
(502) 805-0690
Mailing address
3310 E 10TH ST # 365, JEFFERSONVILLE, IN 47130-7285
(812) 496-4310
(502) 805-0690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007247A
IN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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