Individual
CARSON SHARESE BERESFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N ANKENY BLVD STE 100, ANKENY, IA 50023-4003
(515) 255-8399
Mailing address
400 DEER RIDGE DR NW, BONDURANT, IA 50035-1156
(515) 313-7622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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