Individual
MARYANN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
133678
IA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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