Individual
SUSAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
318 FAIRVIEW AVE, IOWA CITY, IA 52245-4428
(319) 855-8766
Mailing address
318 FAIRVIEW AVE, IOWA CITY, IA 52245-4428
(319) 855-8766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083249
IA
Other
Enumeration date
07/21/2021
Last updated
11/11/2021
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