Individual
MARNE HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WILLOW AVE, SUITE 305, COUNCIL BLUFFS, IA 51503-0827
(712) 256-4420
Mailing address
500 WILLOW AVE, SUITE 305, COUNCIL BLUFFS, IA 51503-0827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
079937
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079937
—
IA
Enumeration date
10/08/2015
Last updated
10/08/2015
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