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Individual

LISA J BELLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
300 W BROADWAY STE 270, COUNCIL BLUFFS, IA 51503-9028
(712) 256-7511
(712) 256-9766
Mailing address
54944 221ST ST, GLENWOOD, IA 51534-6041
(402) 657-2133

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05745
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236012
MIDLANDS CHOICE
IA
01
34713
WELLMARK
IA
Enumeration date
02/13/2006
Last updated
06/17/2022
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