Individual
DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1866 HONEY CREEK RD, MANCHESTER, IA 52057-8858
(563) 920-0872
Mailing address
1866 HONEY CREEK RD, MANCHESTER, IA 52057-8858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
047403
IA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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