Organization
SOUTHARD HARRISON INC
Active
Other names
Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN SOUTHARD LISW (DIRECTOR THERAPY ASSOCIATES)
(563) 382-2662
Entity
Organization
Contact information
Practice address
314 W MAIN ST, DECORAH, IA 52101-1716
(563) 382-2662
(563) 382-2662
Mailing address
314 W MAIN ST, DECORAH, IA 52101-1716
(563) 382-2662
(563) 382-2662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11880
WELLMARK/MARILYN SOUTHARD
—
01
—
41019
WELLMARK/KARLA PRESLER
—
Enumeration date
08/11/2005
Last updated
07/21/2022
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