KELLY NISSEN

CORALVILLE, IA
NPI1952548497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  01308)
Enumeration Date2009-01-20
Last Update Date2025-08-13
Business Address
KELLY NISSEN LISW
1881 BROWN DEER RD
CORALVILLE, IA 52241-1160
Phone number: 319-621-1705
Mailing Address
KELLY NISSEN LISW
1881 BROWN DEER RD
CORALVILLE, IA 52241-1160
Phone number: 319-621-1705
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