Individual
LAUREN GILLENWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 FALLS CREEK LNDG, NEW ALBANY, IN 47150-9635
(812) 989-0079
Mailing address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006396A
IN
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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