| |
125 4th St Nw Mason City IA 50401-3113 | |
(641) 423-4724 | |
(641) 423-3955 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 125 4th St Nw, Mason City, Iowa |
Authorized Official Name and Position | Pamela C Little (PRESIDENT) |
Authorized Official Contact | 6414234724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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125 4th St Nw Mason City IA 50401-3113 Ph: (641) 423-4724 | 125 4th St Nw Mason City IA 50401-3113 Ph: (641) 423-4724 |
NPI Number | 1881757953 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 04/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881757953 | NPI | - | NPPES |
51975 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00204 (Iowa) | Primary |
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Good Shepherd Geriatric Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 2nd St Ne, Mason City, IA 50401 Phone: 641-424-1740 | |
Parents United Of North Central Iowa, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw Ste 107, Mason City, IA 50401 Phone: 541-424-5232 Fax: 641-424-8141 | |
Lancaster Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 1st St Se Ste 103, Mason City, IA 50401 Phone: 641-420-1637 | |