Individual
ANGIE SAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
Mailing address
320 N EISENHOWER AVE, P.O. BOX1338, MASON CITY, IA 50401-1521
(641) 424-2391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420947309
—
IA
Enumeration date
09/20/2016
Last updated
09/20/2016
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