Individual
MRS. SARAH LUCETTA RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
105 VALLEY WEST DR STE 100, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368
Mailing address
225 PRAIRIE VIEW DR APT 8142, WEST DES MOINES, IA 50266-7132
(620) 215-3726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
075041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740659838
—
IA
Enumeration date
09/18/2015
Last updated
09/10/2020
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