Individual
AMANDA LYNN BURGOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3811 38TH ST, DES MOINES, IA 50310-3648
(515) 450-7478
Mailing address
6200 AURORA AVE, STE 103E, URBANDALE, IA 50322-6338
(515) 401-6886
(515) 401-7856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008217
IA
Other
Enumeration date
07/09/2013
Last updated
06/22/2017
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