Most Relevant Information
Provider Data
NPI Number: | 1003396250 |
Provider Name: | MEGAN MARIE OHLENDORF TCADC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | T18040 |
Most Important Dates
Enumeration Date: | 08/17/2018 |
Last Updated: | 08/17/2018 |
Provider Practice Location
800 5TH ST STE 200
SIOUX CITY
IA
511011324
Practice Location Phone/Fax
Phone: | 7122342300 |
Fax: |
Provider Mailing Location
800 5TH ST STE 200
SIOUX CITY
IA
511011324
Provider Mailing Phone/Fax
Phone: | 7122342300 |
Fax: |