Individual
MS. RAVEN J LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE SOCIAL WORKE
Contact information
Practice address
1303 DR MARTIN L KING JR AVE, MOBILE, AL 36603-5341
(251) 432-4117
(251) 436-7765
Mailing address
1303 DR MARTIN L KING JR AVE, MOBILE, AL 36603-5341
(251) 432-4117
(251) 436-7765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4063C
AL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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