Individual
MS. SUSAN ROBERTA LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
2800 S FORT AVE, SPRINGFIELD, MO 65807-3495
(417) 882-0035
(417) 882-0103
Mailing address
314 ARROWHEAD RD, WILLARD, MO 65781-9235
(417) 299-2176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01564
MO
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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