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Individual

MS. NICKY MENDENHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW, LMFT

Contact information

Practice address
939 OFFICE PARK RD, SUITE 112, WEST DES MOINES, IA 50265-2505
(515) 274-6335
(515) 274-9269
Mailing address
939 OFFICE PARK RD, SUITE 112, WEST DES MOINES, IA 50265-2505
(515) 274-6335
(515) 274-9269

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
00010
IA
106H00000X
Marriage & Family Therapist
Primary
00029
IA

Other

Enumeration date
10/19/2006
Last updated
09/11/2025
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