Individual
BRIANNE CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2331 E 8TH ST, DES MOINES, IA 50316-1715
(515) 979-3893
Mailing address
2331 E 8TH ST, DES MOINES, IA 50316-1715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
092471
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420680416
—
IA
Enumeration date
01/10/2019
Last updated
01/10/2019
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