Individual
KYLIE SUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 MORTENSEN RD STE 101, AMES, IA 50014-5534
(515) 599-8904
Mailing address
1001 STAFFORD AVE, AMES, IA 50010-5727
(712) 299-8694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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