Individual
DONNA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Mailing address
2119 E GRAND AVE, DES MOINES, IA 50317-5237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299297
—
IA
Enumeration date
07/15/2010
Last updated
07/15/2010
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