Individual
MS. EMILY K ALLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, CADC
Contact information
Practice address
615 GRANT AVE, WATERLOO, IA 50702-2111
(319) 610-1116
Mailing address
615 GRANT AVE, WATERLOO, IA 50702-2111
(319) 610-1116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
01/13/2009
Last updated
10/08/2018
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