Individual
MARY MILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
180 10TH ST SE, SUITE 201, LE MARS, IA 51031-2559
(712) 546-4624
(712) 546-9395
Mailing address
91 3RD ST W, PO BOX 418, RIVERSIDE, IA 52327-7711
(712) 546-4624
(712) 546-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03217
IA
Other
Enumeration date
08/15/2016
Last updated
10/19/2022
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