Organization
SOUTHARD HARRISON INC
Active
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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