Individual
TINA WATZNAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S BROADWAY ST, BURLINGTON, IA 52601-9407
(319) 752-4000
(319) 752-6933
Mailing address
400 S BROADWAY ST, BURLINGTON, IA 52601-9407
(319) 752-4000
(319) 752-6933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15105
IA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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