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Organization

MARY B. LANGFORD, BSN, MA, LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY BLUM LANGFORD MA, LPC (COUNSELOR)
(337) 886-7879
Entity
Organization

Contact information

Practice address
200 FLYING W DRIVE, CARENCRO, LA 70520
(337) 886-7879
Mailing address
200 FLYING W DRIVE, CARENCRO, LA 70520
(337) 886-7879

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3326
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3326
PROFESSIONAL COUNSELOR
LA
Enumeration date
10/02/2006
Last updated
08/22/2020
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