Organization
WAVES HEALING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE DINGBAUM LISW (LISCENCED INDEPENDENT SOCIAL WORKER)
(563) 608-4281
Entity
Organization
Contact information
Practice address
105 E BUTLER ST, MANCHESTER, IA 52057-1606
(563) 929-6571
Mailing address
217 SUMMIT ST, EARLVILLE, IA 52041-2562
(563) 608-4281
(563) 822-1052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
01/29/2024
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