Individual
ABBY JO GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4111
Mailing address
2380 LILAC CT, FAIRFIELD, IA 52556-8841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
078729
IA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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