Organization
SELF DISCOVERIES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MICHAEL POTTHOFF CSW (PROVIDER/OWNER)
(515) 978-1305
Entity
Organization
Contact information
Practice address
6165 NW 86TH ST, JOHNSTON, IA 50131-2270
(515) 978-1305
Mailing address
6165 NW 86TH ST, JOHNSTON, IA 50131-2270
(515) 978-1305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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