Individual
AMANDA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
Mailing address
PO BOX 458, OTTUMWA, IA 52501-0458
(641) 684-6896
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
006867
IA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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