Individual
MRS. JENNIFER JUNE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
625 E. MONROE ST, CUBA, IL 61427
(309) 785-5012
Mailing address
314 PEORIA ST, LINCOLN, IL 62656-1653
(309) 678-2666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006405
IL
Other
Enumeration date
04/05/2011
Last updated
12/20/2017
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