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Individual

DANIELLE RAE NOVASCONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
19614 W 97TH TER, LENEXA, KS 66220-3347
(913) 481-2352
Mailing address
19614 W 97TH TER, LENEXA, KS 66220-3347
(913) 481-2352

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016023443
MO
235Z00000X
Speech-Language Pathologist
2791
KS

Other

Enumeration date
06/09/2016
Last updated
07/14/2016
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