Individual
ALYSSA BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 325-1407
Mailing address
3315 JESSIE MARIE DR, BELLEVUE, NE 68123-2389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T17113
IA
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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