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Organization

GOOD CONNECTIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA S LARSEN-BOLINE (BUSINESS MANAGER)
(319) 865-3027
Entity
Organization

Contact information

Practice address
823 KEELER ST, BOONE, IA 50036-2729
(515) 433-2100
(515) 432-5544
Mailing address
1109 DIVISION ST, BOONE, IA 50036-1818
(515) 432-6911
(319) 865-3110

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
36314
IA
1041C0700X
Clinical Social Worker
01393
IA
106H00000X
Marriage & Family Therapist
00235
IA
106H00000X
Marriage & Family Therapist
Primary
00240
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5106914
IA
Enumeration date
09/22/2006
Last updated
09/11/2025
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