Individual
KATHERINE MARVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N MAIN AVE, HUXLEY, IA 50124-9416
(515) 597-2977
Mailing address
420 KELLOGG AVE, AMES, IA 50010-6226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06166
IA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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