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Individual

ANDY JAMES VANDERCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TLMHC

Contact information

Practice address
2435 KIMBERLY RD, BETTENDORF, IA 52722-3509
(563) 355-0780
Mailing address
5901 ELMORE AVE APT H15, DAVENPORT, IA 52807-3583
(309) 738-8826

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
083143
IA

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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