Individual
MRS. JESSICA ANN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1095 PINGREE RD STE 119, CRYSTAL LAKE, IL 60014-1726
(847) 458-8890
Mailing address
137 TERRY CT, WOODSTOCK, IL 60098-2556
(815) 308-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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