Individual
THERESA MARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
1026 A AVE NE, ST LUKE'S FAMILY COUNSELING CENTER, CEDAR RAPIDS, IA 52402
(319) 369-8261
Mailing address
3510 RAVEN LANE NE, CEDAR RAPIDS, IA 52402
(319) 378-1545
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
078883
IA
282N00000X
General Acute Care Hospital
078883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074575
—
IA
Enumeration date
10/21/2015
Last updated
08/02/2016
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