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1699912980
SUSAN VANESSEN
CLIVE, IA
NPI
1699912980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IA 00073)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
SUSAN VANESSEN M.A.,C.C.C.
2555 BERKSHIRE PKWY SUITE B
CLIVE, IA 50325-4646
Phone number: 515-987-8835
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Mailing Address
SUSAN VANESSEN M.A.,C.C.C.
4590 DEERWOOD CIR
JOHNSTON, IA 50131-1343
Phone number: 515-201-3551
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