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Organization
RENEWING THE MIND PC
Active
Organization
RENEWING THE MIND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL SANCHEZ PHD (PRESIDENT)
(712) 271-6463
Entity
Organization
Contact information
Practice address
3930 STADIUM DR STE 1, SIOUX CITY, IA 51106-5166
(712) 271-6463
(712) 271-6464
Mailing address
3930 STADIUM DR STE 1, SIOUX CITY, IA 51106-5166
(712) 271-6463
(712) 271-6464
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
01010
IA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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