Individual
TERRIS ALUQDAH RAMONE SALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
303 S 2ND AVE W, NEWTON, IA 50208-3712
(641) 792-0045
Mailing address
303 S 2ND AVE W, NEWTON, IA 50208-3712
(641) 792-0045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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