DOUGLAS JOHN DETRICK

DES MOINES, IA
NPI1790061430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IA  11011)
Enumeration Date2011-10-26
Last Update Date2011-10-26
Business Address
Mr. DOUGLAS JOHN DETRICK CADC
1801 HICKMAN RD
DES MOINES, IA 50314-1505
Phone number: 515-282-6624
Mailing Address
Mr. DOUGLAS JOHN DETRICK CADC
1235 11TH ST #113
WEST DES MOINES, IA 50265-2118
Phone number: 515-988-1800
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