| 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 |