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Individual

DEIDRE H WAHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ST

Contact information

Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 450-1956
Mailing address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 450-1956

Taxonomy

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

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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