ALAN E MORTIMORE

ATLANTIC, IA
NPI1255796835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  15113)
Enumeration Date2015-12-23
Last Update Date2015-12-23
Business Address
-- ALAN E MORTIMORE
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091
Mailing Address
-- ALAN E MORTIMORE
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091