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Provider Information for 1952886491


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Ms. RAVEN J LANG License Social Worke


Sex: Female

NPI: 1952886491
Last Updated: 2018-10-01
Certification Date:

Details

NameValue
NPI1952886491
Enumeration Date2018-10-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1303 DR MARTIN L KING JR AVE
MOBILE, AL 36603-5341
United States

Phone: 251-432-4117 | Fax:251-436-7765
 
Primary Practice Address 1303 DR MARTIN L KING JR AVE
MOBILE, AL 36603-5341
United States

Phone: 251-432-4117 | Fax:251-436-7765
 
Secondary Practice Address(es)

510 S WILSON AVE
PRICHARD, AL 36610-3912
United States

Phone: 251-301-7011 | Fax:251-452-1598
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker AL4063C