Individual
GRACE MEISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N 16TH ST, COUNCIL BLUFFS, IA 51501-0105
(712) 256-5640
Mailing address
2323 S 63RD CIR APT 328, OMAHA, NE 68106-3037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101075
IA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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