Provider Information for 1295271856
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LINDA KAY DOLLEN MS, NCC, MHC
Sex: Female
NPI: 1295271856
Last Updated: 2017-01-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295271856 | ||||||||
| Enumeration Date | 2017-01-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2999 WICHITA AVE PERSIA, IA 51563-4070 United States Phone: 712-216-0523 | Fax: | ||||||||
| Primary Practice Address | 427 E KANESVILLE BLVD STE 102 COUNCIL BLUFFS, IA 51503-4403 United States Phone: 712-256-9660 | Fax: | ||||||||
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