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Individual

COLETTE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1520 MAHTOMEDI AVE, MAHTOMEDI, MN 55115-1907
(651) 407-2114
Mailing address
1520 MAHTOMEDI AVE, MAHTOMEDI, MN 55115-1907

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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