Individual
EUGENIA KAY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 VILLAGE CIRCLE, KEOKUK IOWA, KEOKUK, IA 52632
(319) 524-5772
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00693
IA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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