Individual
ASHLEY MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Mailing address
3 27TH ST, APT 218, SPIRIT LAKE, IA 51360-1875
(315) 651-9606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
079052
IA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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