Individual
TESSA CORIN VAN MAANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 1ST AVE SE, CEDAR RAPIDS, IA 52402-6353
(319) 363-2420
Mailing address
615 BOYSON RD NE APT 233, CEDAR RAPIDS, IA 52402-7391
(641) 891-9648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
127681
IA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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