Individual
KRISTINE FANGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CFY SLP
Contact information
Practice address
2109 CEDARWOOD DR STE 200, MUSCATINE, IA 52761-2670
(563) 263-0557
Mailing address
3307 MACKINAC CT, MUSCATINE, IA 52761-2353
(563) 506-2737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
075144
IA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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