Individual
MRS. NICOLE RENAE RITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Mailing address
4962 STREAM SIDE CIR, DES MOINES, IA 50317-5116
(515) 263-2027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06121
IA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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