Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003065186 |
---|---|
Provider Name | Mrs. Marci Lynn Langevin |
First Address | Fall River, MA 02720-6009 |
Second Address | Fall River, MA 02720-6009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 26/07/2011 |