Individual
DR. MARY MINNEHAN MOOTHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2728 ASBURY RD, SUITE 777, DUBUQUE, IA 52001-2971
(563) 584-8946
Mailing address
2728 ASBURY RD, SUITE 777, DUBUQUE, IA 52001-2971
(563) 584-8946
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00218
IA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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