Individual
ADONICA HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 COURT AVE, MARENGO, IA 52301-1439
(319) 361-6529
Mailing address
2501 S CENTER ST, MARSHALLTOWN, IA 50158-4562
(319) 361-6529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
081352
IA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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