Individual
MARY HOUGHTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1207 SUNNYSIDE LN STE D, ATLANTIC, IA 50022-2229
(712) 243-7089
Mailing address
2826 HIGHWAY 25, GREENFIELD, IA 50849-8038
(610) 308-1280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087324
IA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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