Individual
STEPHANIE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9550 WHITE OAK LN STE 200, JOHNSTON, IA 50131-2267
(515) 259-8110
Mailing address
9550 WHITE OAK LN STE 200, JOHNSTON, IA 50131-2267
(515) 259-8110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096779
IA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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