Individual
MISS ALLIE NICOLE LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 W KING ST, OWOSSO, MI 48867-2152
(989) 721-5867
Mailing address
1308 W KING ST, OWOSSO, MI 48867-2152
(989) 721-5867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N21933618
COFINITY
MI
Enumeration date
08/16/2021
Last updated
08/30/2021
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