Individual
JILL BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16260 PARK LAKE RD, EAST LANSING, MI 48823-9480
(517) 339-2322
Mailing address
12725 MAHOGANY WAY, DEWITT, MI 48820-7860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002283
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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