Individual
TILA GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3032 AVENUE C, COUNCIL BLFS, IA 51501-2070
(402) 686-6576
Mailing address
3032 AVENUE C, COUNCIL BLFS, IA 51501-2070
(402) 686-6576
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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