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Individual

MRS. JUDITH CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3549 SOUTHERN HILLS DR, SIOUX CITY, IA 51106-4736
(712) 274-6729
(712) 274-6744
Mailing address
PO BOX 5427, SIOUX CITY, IA 51102-5427
(712) 274-6729
(712) 274-6744

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00673
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157206
IA
Enumeration date
03/23/2006
Last updated
07/08/2007
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