Individual
NAOMI ANN LUCKEY BOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 WASHINGTON ST, FAYETTE, IA 52142-9206
(800) 553-4150
Mailing address
818 S MILL ST, DECORAH, IA 52101-2029
(563) 380-2353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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