Individual
MISS BRALEIGH SUSAN SCHOSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 N 9TH ST, FORT DODGE, IA 50501-3911
(515) 293-5620
Mailing address
2057 220TH ST, FORT DODGE, IA 50501-8594
(712) 371-9399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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