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Individual

DUSTIN DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 VALLEY WEST DR, STE 204, WEST DES MOINES, IA 50266-1902
(515) 868-0444
(515) 225-7546
Mailing address
1200 VALLEY WEST DR, STE 408, WEST DES MOINES, IA 50266-1942
(515) 868-0444
(515) 225-7546

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/08/2008
Last updated
11/20/2018
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