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Individual

MRS. MARY TERESA LOTHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5415 NW 88TH ST STE 100, JOHNSTON, IA 50131-2951
(515) 727-1338
Mailing address
15311 BROOKVIEW DR, URBANDALE, IA 50323-2522

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/30/2019
Last updated
09/30/2019
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