Individual
MS. SALLY LYNN SELOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13070
IA
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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