Individual
ANGELA WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 6TH ST, GRUVER, IA 51334-8518
(712) 362-5231
Mailing address
200 6TH ST, GRUVER, IA 51334-8518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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