Organization
MAPLE VALLEY - ANTHON OTO CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONA KLINGENSMITH (BUSINESS MANAGER)
(712) 373-5246
Entity
Organization
Contact information
Practice address
110 W DIVISION ST, ANTHON, IA 51004-8192
(712) 373-5246
(712) 373-5326
Mailing address
110 W. DIVISION ST., ANTHON, IA 51004-8192
(712) 373-5246
(712) 373-5326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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