Provider Demographics
NPI:1881900165
Name:LANGLAIS, LAURA-LEA
Entity type:Individual
Prefix:
First Name:LAURA-LEA
Middle Name:
Last Name:LANGLAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KIMBERTOWN LN
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-3368
Mailing Address - Country:US
Mailing Address - Phone:207-577-3865
Mailing Address - Fax:
Practice Address - Street 1:29 KIMBERTOWN LN
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-3368
Practice Address - Country:US
Practice Address - Phone:207-577-3865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC126391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical