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Individual

DR. DAUGHON LANGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LCP, BCN

Contact information

Practice address
30 N MICHIGAN AVE, 1610, CHICAGO, IL 60602-3402
(210) 663-4530
(775) 521-7598
Mailing address
633 S PLYMOUTH CT, 059, CHICAGO, IL 60605-1845
(210) 663-4530
(775) 521-7598

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006088
IL
103TC0700X
Clinical Psychologist
Primary
071008033
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01623882
BC/BS
IL
Enumeration date
07/17/2009
Last updated
06/15/2011
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