Individual
KASSIDY WILLIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
PO BOX 158, CALAMUS, IA 52729-0158
(563) 246-2222
Mailing address
1365 108TH AVE, OXFORD JUNCTION, IA 52323-9619
(563) 210-4838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
127869
IA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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