MS. Mara H Lane, CCC/SLP

NPI #1568656361 in Deerfield, Illinois

Provider Information

NPI Number
1568656361
Entity Type
Individual
Name
MS. Mara H Lane, CCC/SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC/SLP
Enumeration Date
Sep 5, 2007
Last Updated
Sep 5, 2007

Practice Location

Address
140 GREENBRIAR EAST DR
ZIP Code
60015-5064
Phone
(847) 945-8977

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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