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Individual

CORY FRESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2321
(712) 234-2399
Mailing address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2321
(712) 234-2399

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14008
IA
1041C0700X
Clinical Social Worker
Primary
007105
IA

Other

Enumeration date
03/04/2016
Last updated
03/19/2016
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