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Individual

COURTNEY ELIZABETH GROOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 28TH AVE SW STE 2, ALTOONA, IA 50009-3940
(515) 446-2075
Mailing address
63136 HIGHWAY 210, MAXWELL, IA 50161-8516
(402) 213-1776

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/19/2023
Last updated
02/19/2026
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