Individual
DANA WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1750 48TH ST, SUITE 2, DES MOINES, IA 50310-1988
(515) 271-6300
(515) 271-6311
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 271-6300
(515) 271-6311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
212
IA
Other
Enumeration date
11/14/2008
Last updated
01/14/2011
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