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Individual

ADRIA BOOTH-TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
36 S FREDERICK AVE, OELWEIN, IA 50662-2305
(319) 283-5774
Mailing address
PO BOX 349, DECORAH, IA 52101-0349
(563) 382-3649

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100085
IA

Other

Enumeration date
10/05/2020
Last updated
10/05/2020
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