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1003101304
MARLA LANTZ
LA GRANGE, KY
NPI
1003101304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KY KY-2316)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
MARLA LANTZ CCC-SLP
4603 TIMBERWALK CT
LA GRANGE, KY 40031-6746
Phone number: 703-575-8129
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Mailing Address
MARLA LANTZ CCC-SLP
4604 OAK FOREST RD
LOUISVILLE, KY 40245-1993
Phone number:
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