Individual
MS. MARY E HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
939 OFFICE PARK RD, 200, WEST DES MOINES, IA 50265-2505
(515) 288-5570
(515) 440-3388
Mailing address
939 OFFICE PARK RD, 200, WEST DES MOINES, IA 50265-2505
(515) 288-5570
(515) 440-3388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
338
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014316
—
IA
01
—
01431
WELLMARK BLUE CROSS
IA
01
—
35466
MIDLANDS CHOICE
IA
01
—
42105384450265
TRIWEST
IA
Enumeration date
07/07/2006
Last updated
07/08/2007
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