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Organization

HER SUPPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE EDWARDS (OWNER)
(630) 405-9336
Entity
Organization

Contact information

Practice address
5550 WILD ROSE LN STE 400, WEST DES MOINES, IA 50266-5351
(515) 322-7986
Mailing address
5465 MILLS CIVIC PKWY STE 3319, WEST DES MOINES, IA 50266-5318
(515) 322-7986

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104100000X
TAXONOMY
IA
Enumeration date
02/07/2019
Last updated
10/28/2020
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