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Organization

PAULA S. GORDY LISW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON HART (HIPPA COMPLIANCE OFFICER)
(641) 856-2688
Entity
Organization

Contact information

Practice address
501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
(641) 856-2688
(641) 856-2690
Mailing address
501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
(641) 856-2688
(641) 856-2690

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
01294
IA

Other

Enumeration date
10/12/2009
Last updated
12/10/2025
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