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333 Sw 9th St Suite J Des Moines IA 50309-4440 | |
| (515) 777-3075 | |
| (515) 777-1719 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 333 Sw 9th St, Des Moines, Iowa |
| Authorized Official Name and Position | Gloria Krause (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5157773075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
333 Sw 9th St Suite J Des Moines IA 50309-4440 Ph: (515) 777-3075 | 333 Sw 9th St Suite J Des Moines IA 50309-4440 Ph: (515) 777-3075 |
| NPI Number | 1598158156 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598158156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007236 (Iowa) | Primary |
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