Individual
KATY BEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 INGERSOLL AVE, DES MOINES, IA 50312-3400
(515) 255-2500
Mailing address
3812 INGERSOLL AVE, DES MOINES, IA 50312-3400
(515) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074806
IA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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