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Organization

HOWARD COUNTY CASE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN J SPILDE LBSW (DIRECTOR)
(563) 547-3966
Entity
Organization

Contact information

Practice address
205 2ND ST E, CRESCO, IA 52136-1602
(563) 547-3966
(563) 547-3117
Mailing address
205 2ND ST E, CRESCO, IA 52136-1602
(563) 547-3966
(563) 547-3117

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0111658
IA
05
0288829
IA
Enumeration date
11/28/2007
Last updated
01/03/2008
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