Organization
SUSAN G SCHMITZ, LISW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G SCHMITZ LISW (PRESIDENT/OWNER)
(319) 354-0786
Entity
Organization
Contact information
Practice address
1150 5TH ST STE 261, CORALVILLE, IA 52241-2914
(319) 354-0786
Mailing address
1150 5TH ST STE 261, CORALVILLE, IA 52241-2914
(319) 354-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02299
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473130000
—
IA
Enumeration date
05/20/2006
Last updated
05/28/2010
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