Individual
MS. KELLY DIANNE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
515 N RAILROAD ST, SUMNER, IA 50674-1126
(641) 373-1375
Mailing address
515 N RAILROAD ST, SUMNER, IA 50674-1126
(641) 373-1375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000313
IA
Other
Enumeration date
03/28/2012
Last updated
05/26/2024
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