Individual
KENDALL ANNE DEITERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Mailing address
1608 MADISON ST, EMMETSBURG, IA 50536-2021
(712) 298-1429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
099535
IA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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