CHARLOTTE MARIE NISSEN

SPENCER, IA
NPI1932159340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  00630)
Enumeration Date2006-05-10
Last Update Date2007-11-08
Business Address
-- CHARLOTTE MARIE NISSEN LISW
201 E 11TH ST
SPENCER, IA 51301-4436
Phone number: 712-262-2922
Mailing Address
-- CHARLOTTE MARIE NISSEN LISW
201 E 11TH ST
SPENCER, IA 51301-4436
Phone number: 712-262-2922
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