Organization
TARA L. CRUISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LEE CRUISE MA (MARRIAGE AND FAMILY THERAPIST)
(319) 270-9545
Entity
Organization
Contact information
Practice address
3030 NORTHGATE DR, SUITE E, IOWA CITY, IA 52245-9501
(319) 337-6483
Mailing address
3030 NORTHGATE DR, SUITE E, IOWA CITY, IA 52245-9501
(319) 337-6483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000403
IA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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