Organization
LEAN ON ME THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA S BOHLKEN LISW (OWNER)
(563) 581-2673
Entity
Organization
Contact information
Practice address
500 OAKHURST DR., APT. 6, CLINTON, IA 52732-3619
(563) 581-2673
Mailing address
500 OAKHURST DR., APT. 6, CLINTON, IA 52732-3619
(563) 581-2673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06264
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201259
—
IA
Enumeration date
01/17/2008
Last updated
06/12/2009
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