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Individual

THERESA GEST DIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
12409 RIDGEMONT DR, URBANDALE, IA 50323-2274
(515) 422-3601
(515) 727-8757

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01749
IA

Other

Enumeration date
01/23/2013
Last updated
01/23/2013
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