Individual
MS. AMY KRISTINE KAKAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
328 E WASHINGTON ST, SUITE 200, IOWA CITY, IA 52240-3988
(319) 341-5933
Mailing address
328 E WASHINGTON ST, SUITE 200, IOWA CITY, IA 52240-3988
(319) 341-5933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02094
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38483
WELLMARK PROVIDER ID
IA
Enumeration date
07/19/2006
Last updated
07/08/2007
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