Individual
MIRIAM PRICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 BRADY ST, SUITE 204, DAVENPORT, IA 52803-4712
(563) 265-4477
Mailing address
1706 BRADY ST, SUITE 204, DAVENPORT, IA 52803-4712
(563) 265-4477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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