Individual
SANDRA JEANNE LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
(931) 649-3409
Mailing address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
(931) 649-3409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000004171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004171
LICENSE
TN
05
—
3927247
—
TN
Enumeration date
03/01/2007
Last updated
07/08/2007
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