Individual
ANNE MCCULLOUGH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1315
(515) 246-3508
Mailing address
1208 BROADWAY ST, PELLA, IA 50219-1232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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