Individual
BLAINE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1200 VALLEY WEST DR STE 704, WEST DES MOINES, IA 50266-1907
(515) 732-9599
(515) 418-0890
Mailing address
1200 VALLEY WEST DR STE 704, WEST DES MOINES, IA 50266-1907
(515) 732-9599
(515) 418-0890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076934
IA
Other
Enumeration date
09/23/2015
Last updated
01/12/2021
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