Individual
MS. MARY CYNTHIA CHICOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW LISW
Contact information
Practice address
3601 DOUGLAS AVE, DES MOINES, IA 50310
(515) 277-2126
(515) 277-0548
Mailing address
9001 HICKMAN ROAD, SUITE 300, URBANDALE, IA 50322
(515) 473-6240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00585
IA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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