Individual
GARY D ZEUTENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LISW
Contact information
Practice address
20 W 4TH ST, SPENCER, IA 51301-4013
(712) 262-6111
(712) 262-6180
Mailing address
20 W 4TH ST, SPENCER, IA 51301-4013
(712) 262-6111
(712) 262-6180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00656
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440586
—
IA
01
—
129115
VALUE OPTIONS
—
01
—
36708
WELLMARK BCBS
IA
Enumeration date
01/09/2006
Last updated
07/08/2007
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