Individual
MR. WALTER LEE DOTY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3103 8TH AVE, COUNCIL BLUFFS, IA 51501-5714
(402) 290-8537
Mailing address
3103 8TH AVE, COUNCIL BLUFFS, IA 51501-5714
(402) 290-8537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001625
IA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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