NPI | 1093360315 |
---|---|
Doing Business As | DEBRA K IVERSEN LCSW PLLC |
Entity Type | Organization |
Authorized Contact | DEBRA K IVERSEN Owner 469-573-1726 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-08-04 |
Last Update Date | 2020-09-14 |