Individual
HALEY NICOLE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 13TH ST S, HUMBOLDT, IA 50548-2439
(515) 332-4104
Mailing address
120 N LINCOLN AVE, EAGLE GROVE, IA 50533-1728
(319) 981-2172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
096560
IA
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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