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Individual

SUSAN ILEEN FRAUENHOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 329-8260
Mailing address
100 1ST AVE NE, APT 1701, CEDAR RAPIDS, IA 52401-1128
(319) 321-8139

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06146
IA

Other

Enumeration date
06/18/2007
Last updated
07/08/2007
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