NPI | 1235368721 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDICE J. KUNDERT Licensed Independent Social Worker 563-370-7995 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 01513) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2009-07-07 |