Individual
TERRY LUIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 230TH ST, WALLINGFORD, IA 51365-7539
(712) 867-4724
Mailing address
PO BOX 515, ESTHERVILLE, IA 51334-0515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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