Individual
KAISA MIRIAM BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1204 LINDEN ST, DALLAS CENTER, IA 50063-1052
(575) 621-4820
Mailing address
125 E WASHINGTON ST, OSCEOLA, IA 50213-1296
(575) 621-4820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2356
IA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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