Individual
SUSIN BREDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3811 38TH ST, DES MOINES, IA 50310-3648
(515) 401-6886
Mailing address
3811 38TH ST, DES MOINES, IA 50310-3648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008194
IA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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