Individual
MARILLA L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
125 S 3RD ST, AMES, IA 50010-7042
(515) 232-5811
(515) 232-7491
Mailing address
125 S 3RD ST, AMES, IA 50010-7042
(515) 232-5811
(515) 232-7491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00824
IA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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