Individual
AMANDA LE LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
Mailing address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05847
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298372
—
IA
01
—
220784
IOWA HEALTH SOLUTIONS
IA
01
—
I022
TRIWEST
IA
01
—
P00043190
RAILROAD MEDICARE
IA
Enumeration date
08/30/2005
Last updated
05/26/2016
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