Individual
RAYMOND FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2416 340TH ST, KEOKUK, IA 52632
(319) 524-3560
Mailing address
2416 340TH ST, KEOKUK, IA 52632-9539
(319) 524-3560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9691695-3501
UT
Other
Enumeration date
09/17/2014
Last updated
11/20/2019
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