Provider Information for 1740775568
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MELISSA REYERSON-SLIFER LMSW
Sex: Female
NPI: 1740775568
Last Updated: 2018-06-25
Certification Date:
Certification Date:
Details
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NPI | 1740775568 | ||||||||
Enumeration Date | 2018-06-25 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 3215 WOLCOTT AVE DES MOINES, IA 50321-1947 United States Phone: 515-829-7735 | Fax: | ||||||||
Primary Practice Address | 918 SE 11TH ST DES MOINES, IA 50309-5324 United States Phone: 515-282-9377 | Fax: | ||||||||
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