Individual
MRS. MARY ANNE KALLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARY KALLSEN
Contact information
Practice address
32302 HICKORY AVE, SIOUX CITY, IA 51108-8668
(712) 239-4789
Mailing address
32302 HICKORY AVE, SIOUX CITY, IA 51108-8668
(712) 239-4789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1084
IA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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