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1962545582
IDA M. WIEDEL
KANSAS CITY, MO
NPI
1962545582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 00254)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Ms. IDA M. WIEDEL S.L.P.
700 W 48TH ST
KANSAS CITY, MO 64112-1865
Phone number: 816-756-1403
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Mailing Address
Ms. IDA M. WIEDEL S.L.P.
700 W 48TH ST
KANSAS CITY, MO 64112-1865
Phone number: 816-756-1403
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