Individual
LAURA LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
525 SADDLEBACK RD, MARION, IA 52302-8962
(319) 389-7786
Mailing address
525 SADDLEBACK RD, MARION, IA 52302-8962
(319) 389-7786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001776
IA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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