RUSSELL ELLIS LARK

WEST DES MOINES, IA
NPI1083872642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: IA  001057)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
Dr. RUSSELL ELLIS LARK Ph.D.
1200 VALLEY WEST DR SUITE 707
WEST DES MOINES, IA 50266-1908
Phone number: 515-222-1999
Mailing Address
Dr. RUSSELL ELLIS LARK Ph.D.
1200 VALLEY WEST DR SUITE 707
WEST DES MOINES, IA 50266-1908
Phone number:
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