Individual
KELLY JEAN SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
250 20TH AVE N, CLINTON, IA 52732-2503
(563) 243-2124
(563) 243-2190
Mailing address
59594 94TH ST, SABULA, IA 52070-9305
(563) 241-8534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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