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Individual

CAROL ANN TJADEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW,IADC

Contact information

Practice address
615 GRANT AVE, WATERLOO, IA 50702-2111
(319) 610-1660
Mailing address
147 SUMMIT AVE, WATERLOO, IA 50701-2757
(319) 610-1660

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
IA
104100000X
Social Worker
2045
IA

Other

Enumeration date
08/11/2018
Last updated
08/11/2018
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