Individual
MS. MARY DAWN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICADAC
Contact information
Practice address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0232
(712) 255-0354
Mailing address
3700 28TH ST SPC 401, SIOUX CITY, IA 51105-2300
(712) 204-0014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
704927
IA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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