Provider Demographics
NPI:1881192482
Name:LANGBO, CARRIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:LANGBO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9206 PRAIRIEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-8434
Mailing Address - Country:US
Mailing Address - Phone:248-797-0424
Mailing Address - Fax:
Practice Address - Street 1:INFORMEDDNA, 877 EXECUTIVE CENTER DRIVE W
Practice Address - Street 2:SUITE 206
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702
Practice Address - Country:US
Practice Address - Phone:760-230-5429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS