Individual
MS. SUSAN HONOR HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6510
(515) 643-6598
Mailing address
1505 WALNUT ST, PO BOX 303, DALLAS CENTER, IA 50063-7729
(515) 314-3321
(515) 643-6598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00927
IA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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