LISA JANE FULLENKAMP

COUNCIL BLUFFS, IA
NPI1104082205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IA  01568)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
-- LISA JANE FULLENKAMP MA, CCC-SLP
3000 RISEN SON BLVD
COUNCIL BLUFFS, IA 51503-1911
Phone number: 712-366-0286
Mailing Address
-- LISA JANE FULLENKAMP MA, CCC-SLP
3000 RISEN SON BLVD
COUNCIL BLUFFS, IA 51503-1911
Phone number: 712-366-0286
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