Individual
DIANA MARIE WILSON LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5226 E 82ND ST, INDIANAPOLIS, IN 46250-1628
(317) 410-1577
Mailing address
5226 E 82ND ST, INDIANAPOLIS, IN 46250-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IN
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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