Individual
MRS. VIC KIE SUE VANDAMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
140 VAN BUREN ST, OSBORNE, KS 67473-1602
(785) 346-2657
(785) 346-2961
Mailing address
140 VAN BUREN ST, OSBORNE, KS 67473-1602
(785) 346-2657
(785) 346-2961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
557
KS
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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