Individual
MADISON SCHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Mailing address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T21114
IA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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