Individual
NOLAN MARIE VITZTHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1721 ELMHURST AVE, HUMBOLDT, IA 50548-1882
(307) 274-8705
(515) 420-8303
Mailing address
1721 ELMHURST AVE, HUMBOLDT, IA 50548-1882
(515) 450-2583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1159
WY
Other
Enumeration date
06/09/2016
Last updated
08/03/2024
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