Individual
MICHAEL TENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
714 W PLATT ST, MAQUOKETA, IA 52060-2178
(309) 794-7357
Mailing address
714 W PLATT ST, MAQUOKETA, IA 52060-2178
(309) 794-7357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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