Individual
TERRA GENE DEMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 UTICA RIDGE RD STE F, BETTENDORF, IA 52722-1653
(563) 484-4468
Mailing address
2503 CHATEAU KNLS, BETTENDORF, IA 52722-3427
(970) 361-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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