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Individual

BECKY GRABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.I.S.W

Contact information

Practice address
1150 5TH STREET, SUITE 276, CORALVILLE, IA 52241-2932
(319) 383-8678
Mailing address
1150 5TH STREET, SUITE 276, CORALVILLE, IA 52241-2932
(319) 383-8678

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06201
IA
1041C0700X
Clinical Social Worker
G13101
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598101461
IA
Enumeration date
08/21/2009
Last updated
03/04/2016
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