Individual
MRS. LAUREN THERESE SECULOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845-8792
(260) 205-8584
Mailing address
10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845-8792
(260) 205-8584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002823A
IN
Other
Enumeration date
09/03/2015
Last updated
04/10/2017
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