Individual
KIMBERLY EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Mailing address
201 HART AVE, DES MOINES, IA 50315-5270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01034
IA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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