Individual
SARAH PANTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 ELEANOR DR, WATERLOO, IA 50701-3420
(319) 404-2147
Mailing address
1237 ELEANOR DR, WATERLOO, IA 50701-3420
(319) 404-2147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10189
IA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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