Mary Lou Lange, MA, CCC-SLP

NPI #1376078477 in Lewistown, Ohio

Provider Information

NPI Number
1376078477
Entity Type
Individual
Name
Mary Lou Lange, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Apr 26, 2017
Last Updated
Apr 26, 2017

Practice Location

Address
12848 STATE ROUTE 274
State
Ohio
ZIP Code
43333-9708
Phone
(937) 597-1497

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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