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Individual

DANA IPSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 34741-4439
(800) 378-7597
Mailing address
7756 MOSER AVE, WINDERMERE, FL 34786-6739
(941) 524-7428

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10098
FL
235Z00000X
Speech-Language Pathologist
Primary
21129
FL

Other

Enumeration date
04/02/2021
Last updated
02/02/2023
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