KELLY NISSEN

IOWA CITY, IA
NPI1952548497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  01308)
Enumeration Date2009-01-20
Last Update Date2013-11-15
Business Address
-- KELLY NISSEN LISW
52 STURGIS CORNER DR STE A
IOWA CITY, IA 52246-5617
Phone number: 319-621-1705
Mailing Address
-- KELLY NISSEN LISW
52 STURGIS CORNER DR STE A
IOWA CITY, IA 52246-5617
Phone number: 319-621-1705
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