Individual
DR. MERVIN J LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(877) 666-7223
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2853
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39632300
—
WI
Enumeration date
05/21/2007
Last updated
03/15/2024
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