Individual
ADDIE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 1ST ST STE 100, ANKENY, IA 50023-1751
(515) 238-3850
Mailing address
220 W 1ST ST STE 100, ANKENY, IA 50023-1751
(515) 238-3850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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