Individual
MRS. COLLEEN ELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N STEWART ST, NORTH LIBERTY, IA 52317-9798
(563) 880-8457
Mailing address
330 N STEWART ST, NORTH LIBERTY, IA 52317-9798
(563) 880-8457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002139
IA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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