Individual
MARIBETH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
110 N BROADWAY, INOLA, OK 74036-9419
(918) 543-1000
Mailing address
110 N BROADWAY, INOLA, OK 74036-9419
(918) 543-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12078159
OK
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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