Individual
JOAN TATARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
(319) 364-0116
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993
(319) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00759
IA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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