Individual
LATASHA KAY BIDANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 S GILBERT ST, IOWA CITY, IA 52240-4340
(319) 481-3377
(319) 359-4125
Mailing address
1814 STERLING CT, IOWA CITY, IA 52240-3044
(319) 481-3377
(319) 359-4125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098973
IA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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