1316204704

Everything you always wanted to know about STAVIG MICHELE ASHLEY LMHC but were afraid to ask.

STAVIG MICHELE ASHLEY LMHC

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
STAVIG MICHELE ASHLEY LMHC
Gender:
Female
Enumeration date:
2012-04-23
Last update date:
2014-04-09
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
12507516 Other CAQH IA

Taxonomies

Taxonomy State License Number Primary?
101YM0800X Mental Health IA 001473 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 5152671340
Mailing Address Telephone Number 5153606199

Addresses

Type Address City State Postal Country
Mailing Address 2106 40TH ST DES MOINES IA 50310 IA
Practice Location Address 1200 VALLEY WEST DR STE 302 WEST DES MOINES IA 0 IA

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