Individual
MISS MARIAH KATE LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8467 N HIGHWAY 421, MANCHESTER, KY 40962-4953
(606) 658-9240
Mailing address
3622 N HIGHWAY 421, MANCHESTER, KY 40962-8213
(606) 594-2850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
256439
KY
Other
Enumeration date
09/05/2018
Last updated
02/22/2022
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