Individual
AVERY NICOLE DESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 COURT ST, SIOUX CITY, IA 51101-1920
(712) 252-3871
Mailing address
4603 TYLER ST, SIOUX CITY, IA 51108-1129
(712) 203-8819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100984
IA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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