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Individual

JENNA REBECCA ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
4725 MERLE HAY RD, 107, DES MOINES, IA 50322
(515) 331-3190
(515) 331-3191
Mailing address
2738 NW 155TH CT, CLIVE, IA 50325
(515) 331-3190
(515) 331-3191

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001976
IA

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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