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Individual

LISA WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 707-5931
Mailing address
3436 VILLAGE RUN DR, DES MOINES, IA 50317-4967
(515) 707-5931

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05996
IA

Other

Enumeration date
09/26/2005
Last updated
08/29/2007
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