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Individual

DR. DENISE ACKER MARANDOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
2212 PIERCE ST, STE. 100, SIOUX CITY, IA 51104-3871
(712) 255-8323
(712) 255-8287
Mailing address
2212 PIERCE ST, STE. 100, SIOUX CITY, IA 51104-3871
(712) 255-8323
(712) 255-8287

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00805
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1152322
IA
Enumeration date
10/10/2006
Last updated
05/11/2015
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