Individual
STEPHANIE NUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 324-4368
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 324-4368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091965
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091965
LICENSE NUMBER
IA
Enumeration date
03/21/2019
Last updated
03/21/2019
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