Individual
KORI KRISTINE HABURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
6930 HICKORY LN, URBANDALE, IA 50322-1879
(702) 308-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
081050
IA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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