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Organization

COMPREHENSIVE SPEECH AND LANGUAGE PATHOLOGY LLC

Active
Other names
Mara H Lane MS CCC SLP
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARA H LANE M.S CCC SLP (DIRECTOR SPEECH LANGUAGE PATHOLOGIS)
(847) 945-8977
Entity
Organization

Contact information

Practice address
140 GREENBRIAR EAST DR, DEERFIELD, IL 60015-5064
(847) 945-8977
(847) 945-3646
Mailing address
140 GREENBRIAR EAST DR, DEERFIELD, IL 60015-5064
(847) 945-8977
(847) 945-3646

Taxonomy

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

Other

Enumeration date
07/05/2011
Last updated
07/05/2011
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