Individual
PATTY LANGKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 FOREST FALLS DR, SUITE #2, YARMOUTH, ME 04096-6999
(207) 939-9763
(207) 846-7756
Mailing address
463 MOUNTFORT RD, NORTH YARMOUTH, ME 04097-6919
(207) 846-8907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3680
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024919
MEDICARE PTAN
ME
Enumeration date
03/26/2007
Last updated
01/10/2014
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