Individual
CAROL ALICE MENSINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1063 14TH PL, SUITE A, DES MOINES, IA 50314-1245
(515) 235-5224
Mailing address
3110 SW APPLEWOOD ST, ANKENY, IA 50023-6233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075483
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463185099
—
IA
Enumeration date
06/12/2015
Last updated
06/12/2015
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