Individual
LORRA REA GIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Mailing address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007855
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659353670
BC/BS
IA
05
—
1659359670
—
IA
Enumeration date
06/28/2012
Last updated
06/28/2012
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