Individual
LAUREN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E CLEVELAND RD, GRANGER, IN 46530-5624
(574) 271-3305
Mailing address
1712 FERRY ST, NILES, MI 49120-2050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
32002727A
IN
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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