Individual
SUSAN MARIE REBEDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
124 N. FEDERAL AVENUE, MASON CITY, IA 50401-3201
(641) 423-3864
(641) 423-3836
Mailing address
124 N. FEDERAL AVENUE, MASON CITY, IA 50401-3201
(641) 423-3864
(641) 423-3836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06060
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43071
BLUE SHIELD/WELLMARK
IA
Enumeration date
10/02/2007
Last updated
09/14/2015
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