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Individual

MRS. PRISCILLA RAYBURN DIPASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
6700 ANTIOCH RD, SUITE 120, MERRIAM, KS 66204-1497
(913) 652-9229
(888) 652-9198
Mailing address
12217 FARLEY ST, OVERLAND PARK, KS 66213-1686
(913) 481-3136
(888) 652-9198

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
243
KS

Other

Enumeration date
04/24/2014
Last updated
04/24/2014
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