Individual
VIRGINIA VAN AUKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC, SLP
Contact information
Practice address
900 W BROADWAY AVE, FAIRFIELD, IA 52556-2751
(641) 316-3901
Mailing address
900 W BROADWAY AVE, FAIRFIELD, IA 52556-2751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002103
IA
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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