Individual
SHANE SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 SOLAR DR, WATERLOO, IA 50701-2463
(319) 232-2086
Mailing address
1310 SOLAR DR, WATERLOO, IA 50701-2463
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000377
IA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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