| NPI | 1295105039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN PEDERSEN Sole Proprietor 319-230-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007084) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |