Individual
MARY JOSEPHINE PANGBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3735 PARULA DR, EAST LANSING, MI 48823-8352
(231) 492-5823
Mailing address
3735 PARULA DR, EAST LANSING, MI 48823-8352
(231) 492-5823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14041708
MI
Other
Enumeration date
07/12/2023
Last updated
09/12/2023
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