| Erin Langwell LLC | |
|
39674 Bart St Canton MI 48187 | |
| (734) 224-5114 | |
| Not Available |
| Full Name | Erin Langwell LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 39674 Bart St, Canton, Michigan |
| Authorized Official Name and Position | Erin Langwell (OWNER) |
| Authorized Official Contact | 7342245114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Langwell LLC 46036 Michigan Ave Ste 166 Canton MI 48188-2304 Ph: (734) 224-5114 | Erin Langwell LLC 39674 Bart St Canton MI 48187 Ph: (734) 224-5114 |
| NPI Number | 1578224606 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578224606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
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