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Individual

JAIME ELLEN LANGFORD

Active
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Individual

JAIME ELLEN LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05607500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00745088
AGENCY MEDICAID MMIS #
NY
01
1003991019
AGENCY NPI #
NY
Enumeration date
10/19/2010
Last updated
08/31/2015
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