Individual
MS. MARILYN JEAN SPOON X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.D.C.
Contact information
Practice address
1646 305TH ST, TAMA, IA 52339-9698
(641) 484-9420
(641) 484-9477
Mailing address
1646 305TH ST, TAMA, IA 52339-9698
(641) 484-9420
(641) 484-9477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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