Individual
LANCE C CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1148 PINEHURST LN, NORWALK, IA 50211-1909
(515) 250-6567
Mailing address
1148 PINEHURST LN, NORWALK, IA 50211-1909
(515) 250-6567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113230
IA
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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