PHILIP ANDREW

CEDAR RAPIDS, IA
NPI1104893114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  00053)
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
-- PHILIP ANDREW LISW
1730 1ST AVE NE
CEDAR RAPIDS, IA 52402-5433
Phone number: 319-365-3993
Mailing Address
-- PHILIP ANDREW LISW
PO BOX 1408
CEDAR RAPIDS, IA 52406-1408
Phone number: 319-365-3993
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