Organization
WILDFLOWER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR BIRKETT M.A, LMHC (MENTAL HEALTH THERAPIST)
(563) 279-0868
Entity
Organization
Contact information
Practice address
805 CENTURY DR STE 5, DUBUQUE, IA 52002-3771
(563) 279-0868
Mailing address
805 CENTURY DR STE 5, DUBUQUE, IA 52002-3771
(563) 279-0868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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