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Organization
PROGRESSIVE MENTAL HEALTH SOLUTIONS LLC
Active
Organization
PROGRESSIVE MENTAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARRAH MARIE HASSEBROEK NP (OWNER)
(712) 301-1102
Entity
Organization
Contact information
Practice address
505 5TH ST, SUITE 523, SIOUX CITY, IA 51101-1500
(712) 224-3523
Mailing address
505 5TH ST, SUITE 523, SIOUX CITY, IA 51101-1500
(712) 224-3523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
G-115089
IA
Other
Enumeration date
11/17/2014
Last updated
12/22/2014
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