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Organization

PEACE OF MIND THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA SUE BOHLKEN LISW (SOLE MEMBER)
(319) 481-7334
Entity
Organization

Contact information

Practice address
112 W 1ST ST, MONTICELLO, IA 52310-1519
(319) 481-7334
Mailing address
112 W 1ST ST, MONTICELLO, IA 52310-1519
(319) 481-7334

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06264
IA

Other

Enumeration date
03/01/2012
Last updated
06/13/2012
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