Individual
NATHANIEL HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
(563) 582-3784
Mailing address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T17059
IA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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