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Individual

MRS. DELORES LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
628 CLOVER LN, UNIVERSITY PARK, IL 60484-3323
(708) 534-8105
(708) 534-8107
Mailing address
628 CLOVER LN, UNIVERSITY PARK, IL 60484-3323
(708) 534-8105
(708) 534-8107

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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