Individual
STACY LYNN GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
1435 31ST ST NE STE A, CEDAR RAPIDS, IA 52402-4056
(319) 214-5053
Mailing address
1435 31ST ST NE STE A, CEDAR RAPIDS, IA 52402-4056
(319) 214-5053
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
107727
IA
Other
Enumeration date
01/03/2022
Last updated
12/04/2023
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