Individual
SUSAN G SCHMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, RPT-S
Contact information
Practice address
1150 5TH ST STE 261, CORALVILLE, IA 52241-2914
(319) 354-0786
(319) 358-6310
Mailing address
1150 5TH ST STE 261, CORALVILLE, IA 52241-2914
(319) 354-0786
(319) 358-6310
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
07/26/2005
Last updated
05/28/2010
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