Individual
CAROLYN SUE STIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C., L.M.S.W.
Contact information
Practice address
1100 ADAMS ST UNIT 128, AMES, IA 50010-4126
(515) 232-0390
Mailing address
1100 ADAMS ST UNIT 128, AMES, IA 50010-4126
(515) 450-0223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00104
IA
Other
Enumeration date
04/22/2008
Last updated
10/25/2024
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