Individual
AMY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157
Mailing address
PO BOX 65, AKRON, IA 51001-0065
(712) 422-0388
(712) 252-3157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083358
IOWA BOARD OF PROFESSIONAL LICENSURE
IA
Enumeration date
03/27/2017
Last updated
12/02/2021
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